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目的评价迷你腹腔镜治疗小儿粘连性肠梗阻的临床意义。方法2001年3月至2004年1月,应用迷你腹腔镜行肠粘连松解术治疗粘连性肠梗阻18例,并对其临床资料进行分析。结果本组病例手术时间15～45(平均30)min;术后第1天下床活动;术后肛门排气时间12～28(平均22)h;术后第2天开始进食,3～5(平均4)d痊愈出院,均无并发症发生。随访3～18个月,全组术后恢复良好,均无复发。结论选择性地应用迷你腹腔镜,行肠粘连松解术治疗小儿粘连性肠梗阻,操作简单,疗效安全可靠。
Objective To evaluate the clinical significance of mini laparoscopic treatment of adhesive intestinal obstruction in children. Methods From March 2001 to January 2004, mini laparoscopic intestinal adhesion lysis was used to treat 18 cases of adhesive intestinal obstruction, and its clinical data were analyzed. Results The operation time of this group was 15-45 (average 30) min. The patients were allowed to get out of bed on the first day after operation. The time of postoperative anal exhaust was 12-28 (average 22) hours. Average 4) d cured discharged, no complications occurred. All cases were followed up for 3 to 18 months. All the patients recovered well and no recurrence occurred. Conclusion The selective application of mini laparoscopy, intestinal adhesiolysis in the treatment of adhesive intestinal obstruction in children, simple operation, the effect of safe and reliable.