首页|腹腔镜辅助经肛改良Soave术治疗先天性巨结肠的疗效分析

腹腔镜辅助经肛改良Soave术治疗先天性巨结肠的疗效分析

扫码查看
目的:探讨腹腔镜辅助经肛改良Soave术治疗先天性巨结肠的疗效。方法:回顾2020年1月至2023年3月我院收治的62例先天性巨结肠患儿资料,按不同手术治疗方式分为腹腔镜组(腹腔镜辅助经肛改良Soave术,32例)和常规组(常规经肛改良Soave术,30例),比较2组围术期相关指标、术后并发症及术后6个月肛门功能。结果:62例患儿均顺利完成手术。腹腔镜组手术时间、术后下床活动时间、住院时间均短于常规组,术中出血量少于常规组,P<0。05。腹腔镜组术后并发症发生率低于常规组,患儿术后6个月肛门功能优于常规组,P<0。05。结论:腹腔镜辅助经肛改良Soave术治疗先天性巨结肠效果优于常规经肛改良Soave术,不仅可缩短手术时间、下床活动及住院时间,减少术中出血量,降低术后并发症发生率,而且可提高肛门功能状况。
Clinical Efficacy of Laparoscopic-assisted Transanal Modified Soave Surgery for Hirschsprung's Disease
Objective To investigate the efficacy of laparoscopic-assisted transanal modified Soave sur-gery for Hirschsprung's disease.Methods The clinical data of 62 children with Hirschsprung's disease admitted to our hospital from January 2020 to March 2023 were retrospectively analyzed.According to dif-ferent surgical treatment methods,they were divided into the laparoscopic group(laparoscopic-assisted transanal modified Soave surgery,32 cases)and the conventional group(conventional transanal modified Soave surgery,30 cases).The perioperative related indicators,postoperative complications and anal func-tion 6 months after operation were compared between the two groups.Results Total 62 children under-went surgery successfully.The operation time,postoperative ambulation time and hospital stay in the lapa-roscopic group were shorter than those in the conventional group,and the intraoperative blood loss was less than that in the conventional group(P<0.05).The incidence of postoperative complications in the laparoscopic group was lower than that in the conventional group,and the anal function 6 months after op-eration was better than that in the conventional group(P<0.05).Conclusion The effect of laparo-scopic-assisted transanal modified Soave surgery for Hirschsprung's disease is better than that of transanal modified Soave surgery.It can not only shorten the operation time,postoperative ambulation time and hos-pital stay,reduce the intraoperative blood loss,reduce the incidence of postoperative complications,but also improve anal function.

Hirschsprung's diseaseLaparoscopic surgeryTransanal modified Soave procedureEfficacy

张宁、岳铭、袁宇航

展开 >

郑州大学第一附属医院小儿外科(河南郑州 450000)

先天性巨结肠 腹腔镜手术 经肛改良Soave术 疗效

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(2)
  • 6