刘虹辰

[摘要] 目的 观察腹腔镜微创术治疗梅克尔憩室的临床效果。 方法 收集2013年1月～2018年4月经治的64例梅克尔憩室患儿作为观察对象，按随机数字表法分为实验组与对照组。对照组32例给予传统开腹手术治疗，实验组32例给予腹腔镜微创术治疗。比较两组治疗效果。 结果 实验组术中出血量为（2.85±0.84）mL、住院天数为（4.80±1.23）d、住院费用为（1.90±0.24）万元，均明显少于对照组的（3.37±0.97）mL、（5.79±1.35）d、（2.25±0.30）万元（P<0.05）。实验组术后并发症发生率明显少于对照组（6.25% vs 25.00%，P<0.05）。 结论 腹腔镜微创术治疗梅克尔憩室效果确切，且术后并发症少，有利于缩短住院时间，减少住院费用。

[关键词] 腹腔镜微创术；开腹手术；梅克尔憩室；并发症

[中图分类号] R197.323；R726.5 [文献标识码] B [文章编号] 1673-9701（2018）30-0039-03

[Abstract] Objective To observe the clinical effect of laparoscopic minimally invasive surgery for Meckel's diverticulum. Methods 64 children with Meckel's diverticulum who were treated from January 2013 to May 2018 were enrolled as subjects. They were divided into experimental group and control group according to the random number table method. 32 patients in the control group were treated with conventional open surgery， and 32 patients in the experimental group were treated with laparoscopic minimally invasive surgery. The effects between the two groups were compared. Results The intraoperative blood loss was （2.85±0.84）mL， the hospitalization days were （4.80±1.23）d， and the hospitalization expenses were（1.90±0.24） million in the experimental group， which were significantly less than （3.37±0.97）mL， （5.79±1.35）d， （2.25±0.30）million in the control group（P<0.05）. The incidence of postoperative complications in the experimental group was significantly lower than that in the control group（6.25% vs 25.00%， P<0.05）. Conclusion Laparoscopic minimally invasive surgery for Meckel's diverticulum is effective and has fewer postoperative complications， which is beneficial to shorten hospital stay and reduce hospitalization costs.

[Key words] Laparoscopic minimally invasive surgery； Open surgery； Meckel's diverticulum； Complications

梅克爾憩室又被临床称为回肠远端憩室，是发生于儿童期的一种先天性消化道畸形，其主要因胚胎期卵黄管退化不全，肠端未闭合所致[1]。梅克尔憩室在临床中较为少见，患病率约为2%～4%，其中仅2%～6%憩室可发生并发症，多见消化道出血，少见憩室炎、穿孔、肠梗阻等，给患儿的生命健康安全造成极大威胁[2]。现阶段，该病以手术治疗为主，传统开腹手术切口大、术后恢复慢、并发症多，随着微创手术技术的日趋成熟，腹腔镜辅助下憩室切除术相对于以往应用的传统手术有多种优势，如微创、术后恢复快及无明显瘢痕较为美观等，现已成为治疗该病的首选术式[3]。笔者重点比较传统开腹手术与腹腔镜微创术两种术式治疗梅克尔憩室的效果。

1资料与方法

1.1一般资料

收集自2013年1月～2018年4月经治的64例梅克尔憩室患儿作为观察对象。纳入标准：（1）暗红色血便为主要临床症状表现，同时经同位素异位胃黏膜显像、肠镜或B超确诊；临床症状结合影像学检查未确诊者经肠镜检查排除结肠病变之后行腹腔镜探查确诊；……