切割闭合器在小儿消化道手术中的应用
- 文献标志码:
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- 摘要:
- ?目的 探讨直线切割闭合器在小儿消化道手术中应用的有效性、安全性及可行性。 方法 ２０１２年５月至２０１６年７月间本院使用直线切割闭合器实施消化道手术共３３２例，其中２５１例胆道闭锁和胆总管囊肿患儿行三角吻合术（胆道闭锁２１７例，胆总管囊肿３４例），５２例行肠造瘘术，２１例各种血液病伴脾肿大患儿行脾切除术，１例脾脓肿行脾及胰尾切除术，４例回肠美克尔憩室行憩室切除术， ２例幽门瘢痕狭窄行胃空肠吻合术，１例食管下端狭窄行狭窄段切除＋食管胃吻合术。３３２例中，实施腹腔镜手术１１４例，传统开放手术２１８例。 结果 除初期使用切割闭合器实施胆道闭锁手术的患儿发生吻合口瘘２例，吻合口狭窄１例，早期粘连性肠梗阻１例以外，其余患儿随访１个月至４年，无一例闭合器相关并发症发生。 结论 使用切割闭合器进行儿童消化道手术简便，安全，有效，值得临床推广应用。
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[1]杜朝峻,丁力,胡英超,等.手术治疗婴幼儿法洛四联症83例[J].临床小儿外科杂志,2010,9(06):413.
DU Chao jun,DING Li,HU Ying chao,et al.Surgical treatment of Tetralogy of Fallot in infancy: Experiences of 83 cases.[J].Journal of Clinical Pediatric Surgery,2010,9(05):413.
[2]李勇,尹强,周小渔,等.术中胆道造影在先天性胆总管囊肿手术中的应用[J].临床小儿外科杂志,2010,9(06):430.
LI Yong,YIN Qiang,ZHOU Xiao yu,et al.The clinic application experience on intraoperative cholangiography in pediatric surgery.[J].Journal of Clinical Pediatric Surgery,2010,9(05):430.
[3]许芝林,王强,李琰,等.乙状结肠冗长症的术式选择探讨[J].临床小儿外科杂志,2010,9(06):432.
XU Zhi lin,WANG Qiang,LI Yan,et al.Initiatory exploration of the standard of surgical treatment methods for Dolichosigmoid.[J].Journal of Clinical Pediatric Surgery,2010,9(05):432.
[4]常绘文,沈振亚.右腋下小切口在儿童心内手术中的应用[J].临床小儿外科杂志,2010,9(06):439.
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JIANG Feng,ZHAO Yang,SUN Liang ping,et al.Endoscopic third ventricul ostomy versus ventricul operitoneal shunt:clinical study of obstructive hydro cephalus in infants.[J].Journal of Clinical Pediatric Surgery,2011,10(05):0.
[8]王伟程少文彭磊林忠勤张伟陈庆玉寇冬权.弹性髓内钉在儿童肱骨骨折中的应用[J].临床小儿外科杂志,2011,10(01):0.
WANG Wei,CHENG Shaowen,PENG Lei,et al.Application of elastic intramedullary nailing in pediatric humeral fractures.[J].Journal of Clinical Pediatric Surgery,2011,10(05):0.
[9]景登攀张根领孙蔓丽.改良Snodgrass术治疗尿道下裂疗效观察[J].临床小儿外科杂志,2011,10(01):0.
[10]陈快 黄金狮 戴康临 陶俊峰 赖勇强 陶强. 腹腔镜与开腹Ladd手术治疗新生儿肠旋转不良效果比较[J].临床小儿外科杂志,2011,10(02):128.
[J].Journal of Clinical Pediatric Surgery,2011,10(05):128.
[11]章开智,陈雨彤,郑泽兵,等.超声测量肝门处囊肿最大宽度鉴别囊肿型胆道闭锁与先天性胆管扩张症的应用价值[J].临床小儿外科杂志,2023,22(03):218.[doi:10.3760/cma.j.cn101785-202204027-004]
Zhang Kaizhi,Chen Yutong,Zheng Zebing,et al.Application value of maximal width of hilar cyst in differentiating cystic biliary atresia from congenital biliary dilatation[J].Journal of Clinical Pediatric Surgery,2023,22(05):218.[doi:10.3760/cma.j.cn101785-202204027-004]
[12]郑露露,吴一波,吴伟,等.Ⅲ型胆道闭锁Kasai手术后患儿自体肝中长期生存情况的影响因素分析[J].临床小儿外科杂志,2023,22(11):1045.[doi:10.3760/cma.j.cn101785-202203017-008]
Zheng Lulu,Wu Yibo,Wu Wei,et al.Middle/long-term prognosis and influencing factors of Kasai portoenterostomy on type Ⅲ biliary atresia[J].Journal of Clinical Pediatric Surgery,2023,22(05):1045.[doi:10.3760/cma.j.cn101785-202203017-008]
[13]王磊,兰照平,高琪,等.胆道闭锁患儿Kasai手术后胆管炎的危险因素分析[J].临床小儿外科杂志,2023,22(11):1039.[doi:10.3760/cma.j.cn101785-202211061-007]
Wang Lei,Lan Zhaoping,Gao Qi,et al.Analysis of risk factors for cholangitis after Kasai procedure in biliary atresia children[J].Journal of Clinical Pediatric Surgery,2023,22(05):1039.[doi:10.3760/cma.j.cn101785-202211061-007]
[14]任玉奇,闫学强.达芬奇机器人手术与传统开腹手术治疗胆道闭锁的早期疗效对比[J].临床小儿外科杂志,2023,22(12):1151.[doi:10.3760/cma.j.cn101785-202212015-011]
Ren Yuqi,Yan Xueqiang.Comparison of early efficacies ects in between Da Vinci’s robot surgery and versus open kasai surgery in the treatment of for biliary atresia[J].Journal of Clinical Pediatric Surgery,2023,22(05):1151.[doi:10.3760/cma.j.cn101785-202212015-011]
[15]谢婷,周崇高.腹腔镜下Kasai手术治疗胆道闭锁展望[J].临床小儿外科杂志,2024,(08):701.[doi:10.3760/cma.j.cn101785-202406003-001]
Xie Ting,Zhou Chonggao.Prospects of laparoscopic surgery for biliary atresia[J].Journal of Clinical Pediatric Surgery,2024,(05):701.[doi:10.3760/cma.j.cn101785-202406003-001]
[16]陈功,张杰.重视胆道闭锁肝门空肠吻合术后长期存活患儿肺血管并发症[J].临床小儿外科杂志,2024,(08):706.[doi:10.3760/cma.j.cn101785-202406012-002]
Chen Gong,Zhang Jie.Emphasis on pulmonary vascular complications in children with a long-term survival after hepatoportal jejunostomy for biliary atresia[J].Journal of Clinical Pediatric Surgery,2024,(05):706.[doi:10.3760/cma.j.cn101785-202406012-002]
[17]杨一凡,姜璟,钱曼宁,等.血清胆汁酸水平对胆道闭锁Kasai术后退黄成功患儿预后评估的价值研究[J].临床小儿外科杂志,2024,(08):711.[doi:10.3760/cma.j.cn101785-202405062-003]
Yang Yifan,Jiang Jingying,Qian Manning,et al.Value of serum bile acid levels in prognostic evaluation of successful jaundice resolution after Kasai procedure for biliary atresia[J].Journal of Clinical Pediatric Surgery,2024,(05):711.[doi:10.3760/cma.j.cn101785-202405062-003]
[18]金语嫣,刘兆州,赵家伟,等.新生儿期Kasai手术治疗胆道闭锁疗效观察[J].临床小儿外科杂志,2024,(08):716.[doi:10.3760/cma.j.cn101785-202402001-004]
Jin Yuyan,Liu Zhaozhou,Zhao Jiawei,et al.Curative effect of Kasai operation for neonatal biliary atresia[J].Journal of Clinical Pediatric Surgery,2024,(05):716.[doi:10.3760/cma.j.cn101785-202402001-004]
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Chen Di,Zheng Shan,Chen Gong.Antibiotic use for preventing cholangitis after Kasai portoenterostomy in biliary atresia patients:a systematic review[J].Journal of Clinical Pediatric Surgery,2024,(05):737.[doi:10.3760/cma.j.cn101785-202405049-007]