Effect of laparoscopic-assisted anorectoplasty in the treatment of congenital middle and high anal atresia and its influences on trauma response and defecation function
Objective To explore the effect of laparoscopic-assisted anorectoplasty(LAARP)in the treatment of congenital middle and high anal atresia and its influences on trauma response and defecation function.Methods A total of 84 children with congenital middle and high anal atresia admitted in our hospital from April 2016 to June 2020 were selected as the research objects,and the children were divided into control group and observation group by random number table method,with 42 cases in each group.The control group was treated with traditional Pena,and the observation group was treated with LAARP.The therapeutic effects of the two groups were compared.Results The intraoperative blood loss in the observation group was less than that in the control group,the operation time and hospitalization time were shorter than those in the control group,and the Neonatal Infant Pain Scale(NIPS)score at 24 h after operation was lower than that in the control group,the differences were statistically significant(P<0.05).Before operation,there were no significant differences in the levels of cortisol(Cor),C-reactive protein(CRP),corticotropin-releasing hormone(CRH)and adrenocorticotrophic hormone(ACTH)between the two groups(P>0.05);at 24 h after operation,the levels of Cor,CRP,CRH and ACTH in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 4.76%,which was lower than 21.43%in the control group,and the difference was statistically significant(P<0.05).The excellent and good rate of defecation function recovery at 12 months after operation in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion LAARP in the treatment of congenital middle and high anal atresia can alleviate the body's trauma response and postoperative pain,reduce the incidence of postoperative complications,and promote the recovery of defecation function,which is worthy of promotion.
laparoscopic-assisted anorectoplastycongenital middle and high anal atresiatrauma re-sponsedefecation function
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