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目的比较腹腔镜手术与传统手术治疗小儿肠套叠患者的临床效果及可行性。方法选取2015年12月—2016年9月就诊的小儿肠套叠患者100例,随机成对照组和观察组各50例,对照组使用传统开腹术治疗,观察组采用腹腔镜手术,比较两组疗效,采用SPSS13.0软件对数据进行统计分析,P<0.05为差异有统计学意义。结果对照组术中出血量(40.03±9.38)ml、手术时间(60.36±12.43)min、平均住院时间(8.22±2.39)d及排气时间(3.99±0.55)d均明显多于观察组的(19.36±5.93)ml、(49.84±9.18)min、(5.21±1.77)d及(2.01±0.31)d,两组比较差异均有统计学意义(t=13.171、4.814、7.157、22.176,均P<0.05);观察组不良反应总发生率为4.00%,对照组为34.00%,两组比较差异有统计学意义(χ~2=14.620,P<0.05)。结论应用腹腔镜手术治疗小儿肠套叠患者可取得较为理想的治疗效果,并发症发生率低、病情复发可能性小,且术后患儿恢复速度较快。
Objective To compare the clinical efficacy and feasibility of laparoscopic surgery and traditional surgery for children with intussusception. Methods 100 cases of children with intussusception were selected from December 2015 to September 2016. Randomly controlled group and observation group were 50 cases each. The control group was treated by traditional laparotomy. The observation group was treated by laparoscopy. Group efficacy, using SPSS13.0 software for statistical analysis of data, P <0.05 for the difference was statistically significant. Results The mean amount of blood loss (40.03 ± 9.38) ml, operation time (60.36 ± 12.43) min, average length of hospital stay (8.22 ± 2.39) days and exhaust time (3.99 ± 0.55) days in the control group were significantly higher than those in the observation group 19.36 ± 5.93) ml, (49.84 ± 9.18) min, (5.21 ± 1.77) d and (2.01 ± 0.31) d, respectively. There was significant difference between the two groups (t = 13.171,4.814,7.157,22.176, P < 0.05). The total adverse reaction rate was 4.00% in the observation group and 34.00% in the control group. The difference between the two groups was statistically significant (χ ~ 2 = 14.620, P <0.05). Conclusions Laparoscopic surgery in children with intussusception can achieve the ideal therapeutic effect, the incidence of complications is low, the possibility of recurrent disease is small, and the recovery rate of children after operation is faster.