儿童疝针在膈疝修补术中的应用
- 文献标志码:
- A
- 摘要:
- ?目的探讨儿童疝针在胸腔镜下胸壁膈肌缺损型膈疝修补术中的应用技巧与实用价值。方法回顾性分析我们自2015年11月至2015年12月实施的3例胸腔镜下疝针修补儿童膈疝的手术经验，3例均为胸壁膈肌缺损型膈疝，其中1例需补片修补。结果3例均手术顺利，手术时间85~120 min；术后机械辅助通气时间4~92 h；2例需补片的患儿放置胸腔引流管，术后2 d拔管；出院前均复查胸片及B超，未见异常，术后随访3个月未见复发。结论利用疝针可以在胸腔镜下更容易、更牢固地完成胸壁膈肌缺损型膈疝的修补。
相似文献/References:
[1]王勇,汤绍涛,毛永忠,等.腔镜下手术治疗小儿膈肌疾病31例[J].临床小儿外科杂志,2010,9(06):441.
[2]寿铁军李勇马能强龚晟.腹腔镜手术治疗小儿腹股沟斜疝1582例[J].临床小儿外科杂志,2011,10(01):0.
[3]朱琳琳吕志葆陈 功肖现民.腹腔镜下U型缝合膈肌缺损治疗儿童先天性胸骨后疝[J].临床小儿外科杂志,2010,9(03):0.
ZHU Lin-lin,LV Zhi-bao,CHEN Gong,et al.Laparoscopic-assisted full-thickness anterior abdominal wall repair of Morgagni hernia in children.[J].Journal of Clinical Pediatric Surgery,2010,9(01):0.
[4].小儿先天性腰疝治疗分析[J].临床小儿外科杂志,2010,9(04):0.
GUO Zheng-tuan,XU Quan,LI Peng,et al.Diagnosis and management of congenital lumbar hernias in children.[J].Journal of Clinical Pediatric Surgery,2010,9(01):0.
[5]浦征宇,潘永康,段光琦,等.小儿腹股沟嵌顿性斜疝合并阑尾炎的临床分析[J].临床小儿外科杂志,2008,7(01):37.
[6]葛午平,俞钢,朱小春,等.新生儿小型脐膨出的产前诊断与手法复位治疗[J].临床小儿外科杂志,2008,7(04):0.
[7]杜宝峰,易军,刘继炎,等.腹腔镜治疗复发性斜疝58例[J].临床小儿外科杂志,2008,7(04):0.
[8]王剑锋,刘国庆,唐华建,等.腹腔镜下网片修补小儿巨大腹股沟斜疝的初步报告[J].临床小儿外科杂志,2007,6(01):31.
[9]唐剑平,何东北,唐向东,等.腹腔镜下小儿腹股沟斜疝高位结扎术45例[J].临床小儿外科杂志,2007,6(01):24.
[10]归奕飞,韦勇杰,王奇,等.一孔法腹腔镜手术治疗小儿嵌顿性腹股沟斜疝[J].临床小儿外科杂志,2007,6(02):8.
[11]唐志贤,余家康,王凤华,等.地塞米松对先天性膈疝胎鼠肺发育的影响[J].临床小儿外科杂志,2008,7(01):8.
[12]舒仕瑜,张智恩,陈功,等.先天性膈疝患儿手术后近期肺功能的临床观察[J].临床小儿外科杂志,2017,16(05):444.
[13]段贤伦,章鹏,商子寅,等.经胸径路手术治疗小儿膈疝９例[J].临床小儿外科杂志,2017,16(05):510.
[14]张奕,马立霜,曹玲,等.先天性膈疝患儿手术后近期肺功能观察及相关因素分析[J].临床小儿外科杂志,2022,21(03):236.[doi:10.3760/cma.j.cn101785-202107030-007]
Zhang Yi,Ma Lishuang,Cao Ling,et al.Clinical observation of recent postoperative pulmonary function in patients with congenital phrenic hernia[J].Journal of Clinical Pediatric Surgery,2022,21(01):236.[doi:10.3760/cma.j.cn101785-202107030-007]
[15]李海振,马立霜,王莹,等.新生儿先天性膈疝预后相关因素分析[J].临床小儿外科杂志,2022,21(05):458.[doi:10.3760/cma.j.cn101785-202012069-011]
Li Haizhen,Ma Lishuang,Wang Ying,et al.Analysis of prognostic factors of neonatal congenital diaphragmatic hernia[J].Journal of Clinical Pediatric Surgery,2022,21(01):458.[doi:10.3760/cma.j.cn101785-202012069-011]
[16]侯龙龙,林土连,何秋明,等.先天性膈疝疝囊的产前识别及其对预后的影响[J].临床小儿外科杂志,2022,21(09):827.[doi:10.3760/cma.j.cn101785-202206003-006]
Hou Longlong,Lin Tulian,He Qiuming,et al.Prenatal identification of hernia sac in congenital diaphragmatic hernia and its effect on prognosis[J].Journal of Clinical Pediatric Surgery,2022,21(01):827.[doi:10.3760/cma.j.cn101785-202206003-006]
[17]高琼,黄强,毛翠平,等.胎儿磁共振在先天性膈疝患儿预后评估中的应用研究[J].临床小儿外科杂志,2022,21(09):838.[doi:10.3760/cma.j.cn101785-202206003-008]
Gao Qiong,Huang Qiang,Mao Cuiping,et al.Prognostic values of different parameters acquired from fetal magnetic resonance imaging in congenital diaphragmatic hernia[J].Journal of Clinical Pediatric Surgery,2022,21(01):838.[doi:10.3760/cma.j.cn101785-202206003-008]
[18]刘蕊,郑泽兵,高明娟,等.胸腔镜手术和传统开放手术治疗新生儿先天性膈疝的单中心研究[J].临床小儿外科杂志,2023,22(01):18.[doi:10.3760/cma.j.cn101785-202203079-004]
Liu Rui,Zheng Zebing,Gao Mingjuan,et al.A single center study of thoracoscopic surgery and traditional open surgery for neonatal congenital diaphragmatic hernia[J].Journal of Clinical Pediatric Surgery,2023,22(01):18.[doi:10.3760/cma.j.cn101785-202203079-004]
[19]孟楚怡,冯众,王莹,等.多学科诊疗模式下先天性膈疝患儿的临床转归[J].临床小儿外科杂志,2023,22(08):706.[doi:10.3760/cma.j.cn101785-202304028-002]
Meng Chuyi,Feng Zhong,Wang Ying,et al.Analysis of clinical outcomes for infants with congenital diaphragmatic hernia under a multidisciplinary diagnostic and treatment approach[J].Journal of Clinical Pediatric Surgery,2023,22(01):706.[doi:10.3760/cma.j.cn101785-202304028-002]
[20]刘琴,任红雁,王明雪,等.超声指标联合评估对先天性膈疝预后的预测价值研究[J].临床小儿外科杂志,2024,(06):550.[doi:10.3760/cma.j.cn101785-202309036-008]
Liu Qin,Ren Hongyan,Wang Mingxue,et al.Value of multiple ultrasonic indicators in estimating the outcomes of congenital diaphragmatic hernia[J].Journal of Clinical Pediatric Surgery,2024,(01):550.[doi:10.3760/cma.j.cn101785-202309036-008]