【摘要】 目的比较不同手术切口行幽门环肌切开术治疗小儿肥厚性幽门狭窄的效果。方法128例先天性肥厚性幽门狭窄患儿按治疗时间分为三组,分别采用经右上腹直肌纵切口(25例)、经右上腹横切口(29例)及经脐部半环形切口(74例)行幽门环肌切开术。结果经脐部半环形切口组、经右上腹横切口组切口均Ⅰ期愈合;经右上腹直肌纵切口组发生切口感染3例,切口疝1例、切口开裂2例。前两组术后伤口愈合情况均优于经右上腹直肌纵切口组(P<0.01),但前两组比较无差异(P>0.05)。结论经脐部半环形切口行小儿幽门环肌切开术可获得良好的临床切口愈合效果。更多还原

【Abstract】 Objective To comparatively assess the different abdominal incisions in Ramstedt’s pyloromyotomy. Method 128 cases of congenital hypertrophic pyloric stenosis were divided into three groups according to the different abdominal incision for Ramstedt’s pyloromyotomy, group A(n=25) through longitude incision through abdominal rectus at right upper quadrant, group B(n=29)through transverse incision at right upper quadrant, group C(n=74) through umbilical half-ring incision. Result Primary wound heal achieved in all the cases of group B and C, whereas there were occurrence of wound infection in 3 cases, incisional hernia in 1 case and wound dehiscence in 2 cases. The condition of incision healing was significantly better in group B and C than in group A, while there was no significant difference between group B and C. Conclusion The umbilical half-ring incision for pyloromyotomy is recommendable for its safety, simplicity and cosmetic effect.更多还原