腹腔鏡微創(chuàng)手術(shù)治療小兒先天性膽管擴(kuò)張癥的療效觀察.pdf

1、分類號(hào)：R726.1密級(jí)：公開UDC：610學(xué)校代碼：11065碩士專業(yè)學(xué)位論文腹腔鏡微創(chuàng)手術(shù)治療小兒先天性膽管擴(kuò)張癥的療效觀察腹腔鏡微創(chuàng)手術(shù)治療小兒先天性膽管擴(kuò)張癥的療效觀察紀(jì)福龍紀(jì)福龍指導(dǎo)教師董蒨教授學(xué)位類別碩士專業(yè)學(xué)位專業(yè)領(lǐng)域兒科學(xué)（小兒外科）答辯日期2017年5月26日IIStudyontheclinicalapplicationoflaparoscopicsurgeryinthetreatmentofcongenitalbil

2、iarydilatationAbstractObjective:Tocomparativelyinvestigatetheclinicaleffectoflaparoscopicminimallyinvasivesurgeryinthetreatmentofcongenitalbiliarydilatation.Methods:Clinicaldataofchildrenwithcongenitalbiliarydilatationho

3、spitalizedinthePediatricsurgerydepartmentofHuxiHospitalAffiliatedtoJiningMedicalUniversity(thePediatricsurgerydepartmentofCentralHospitalofShanxianCounty)werecollectedfromJan.2010toDec.2012dividedintotheobservationgroupt

4、hecontrolgroupaccdingtothedifferentsurgery.Patientsintheobservationgroupweretreatedwithlaparoscopicminimallyinvasivesurgerythoseinthecontrolgroupwithtraditionalopensurgery.Themeanoperationtimeintraoperativebloodlossparen

5、teralnutritiontimeextubationtimelengthofhospitalstaytreatmenteffectpostoperativecomplicationsofthetwogroupsweresummarizedanalyzed.Statisticalsceswereemployedinthecomparativeanalysisclinicalefficacywasobjectivelyactuallya

6、ccuratelyevaluated.Results:Laparoscopicminimallyinvasivesurgeryofferedadvantagesinthetreatmentofcongenitalbiliarydilatationwithlessbloodlosssignificantlyreducedrisksofpostoperativeanastomoticfistulabileleakageloopobstruc

7、tionothercomplications.Afterlaparoscopicsurgerythechildrenrecoveredquicklythelengthofhospitalstaywasshtenedwithmeconcealedincisionssmallerscars.Inthepresentstudylaparoscopicminimallyinvasivesurgeryconventionalopensurgery

8、werecomparedinthetreatmentofchildrenwithcongenitalbiliarydilatationitwasfoundthattheoperationtimeoftheobservationgroupwasprolongedcomparedwiththatofthecontrolgroupthebloodlossparenteralnutritiontimedrainagetimethemeanhos

9、pitalstayoftheobservationgroupweresignificantlydecreasedcomparedwiththecontrolgroupwithstatisticallysignificantdifferences(p0.05)thedifferenceintheproptionofpatientswithpostoperativecomplicationsbetweenthecontrolgroup(36

10、%)theobservationgroup(11.1%)wasstatisticallysignificant(p0.05).Conclusion:Comparedwithopensurgeryalthoughitistimeconsuminglaparoscopicminimallyinvasivesurgeryinthetreatmentofcongenitalbiliarydilatationcansignificantlyred

11、ucebloodlossthetimefdrainagehospitalstaywithfasterrecoverylowerpostoperativecomplicationrecurrencerateswhichpromotestherehabilitationprocessofchildrenwithfavableprognosisaswellassignificantclinicalefficiencymakingitwthyo