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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

精准微创外科理念在先天性胃壁肌层缺损中的应用效果

张建军,刘丰丽,马同胜,秦晶晶,张宁

(江苏省徐州市儿童医院新生儿外科,江苏 徐州,221002)

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摘要:

目的 研究精准微创外科理念应用于先天性胃壁肌层缺损患儿的临床效果。方法 将于我院接受手术治疗的先天性胃壁肌层缺损38 例患儿按照治疗方法分为观察组和对照组。对照组(n=17)患儿采取传统手术治疗,观察组(n=21)患儿采取精准微创外科理念进行治疗。对两组患儿的临床效果进行比较。结果对照组患儿术后并发症发生率明显高于观察组,差异具有统计学意义(P<0.05)。结论 精准微创外科理念应用在先天性胃壁肌层缺损患儿中,能降低死亡率和术后并发症发生率。

关键词:精准微创外科理念;先天性胃壁肌层缺损;粘连性肠梗阻

中图分类号:R726.5文献标志码:A文章编号:2096-1413(2017)02-0056-02

    he application effect of precision and mini-trauma surgery on congenital defect of gastric

    musculature
    ZHANG Jian-jun, LIU Feng-li, MA Tong-sheng, QIN Jing-jing, ZHANG Ning

    (Department of Neonatology, the Children's Hospital of Xuzhou, Xuzhou 221006, China)

    ABSTRACT: Objective To investigate the clinical effect of precision and mini-trauma surgery on children with congenital defect of gastric musculature. Methods Thirty-eight children with congenital defect of gastric musculature were selected as study objects. All the children were divided into observation group and control group according to treatment methods. The control group (n=17) received traditional surgical treatment, while the observation group (n=21) accepted precision and mini-trauma surgery. The clinical effect of the two groups were analyzed retrospectively. Results The complication rate of the control group was obviously higher than that of the observation group (P<0.05). Conclusion Precision and mini-trauma surgery in congenital defect of gastric musculature could reduce mortality and postoperative complications.

    KEYWORDS: precision and mini-trauma; congenital defect of gastric musculature; intestinal obstruction

    参考文献:
    [1] 张建军,刘丰丽.先天性膈疝伴胃壁肌层缺损1 例[J].临床小儿外 科杂志,2012,11(1):80.
    [2] 马同胜,张宏伟,刘丰丽,等.孪生儿同患先天性胃壁肌层缺损2例 [J].临床小儿外科杂志,2012,11(5):398.
    [3] 林素,林振浪.先天性胃壁肌层缺损致新生儿胃穿孔12例临床分 析[J].中国新生儿科杂志,2016,31(1):55-57.
    [4] 李龙,张金哲.精准微创技术是现代小儿外科发展的新阶段[J].临 床小儿外科杂志,2011,10(1):97-100.

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