改良Soave根治术与改良Duhamel根治术治疗小儿先天性巨结肠症的效果

发布时间：2018-08-01 08:14

【摘要】：目的对比分析改良Soave根治术与改良Duhamel根治术治疗小儿先天性巨结肠症的效果。方法将118例该院收治的小儿先天性巨结肠症患儿随机均分为对照组和观察组,各59例。对照组给予改良Duhamel根治术治疗,观察组给予改良Soave根治术治疗。观察并记录两组手术时间、手术出血量、术后禁食时间及术后住院时间等手术情况,比较两组生活质量和肛门功能评分及术后并发症发生情况。结果观察组手术时间、手术出血量、术后禁食时间及术后住院时间均低于对照组(P=0.045、0.001、0.041及0.006);观察组患儿生活质量和肛门功能评分及优良率均高于对照组(P=0.010和0.009);观察组总体术后并发症发生率低于对照组(P=0.001)。结论改良Soave根治术治疗小儿先天性巨结肠症的效果优于改良Duhamel根治术,术后并发症少,改善肛门功能,提升生活质量,值得临床推广。
[Abstract]:Objective to compare and analyze the effect of modified Soave radical operation and modified Duhamel radical operation on Hirschsprung's disease in children. Methods 118 children with Hirschsprung's disease were randomly divided into control group and observation group. The control group was treated with modified Duhamel radical operation, and the observation group with modified Soave radical operation. The time of operation, the amount of blood loss, the time of fasting and the time of hospitalization were observed and recorded, and the quality of life, the score of anal function and the incidence of postoperative complications were compared between the two groups. Results in the observation group, the time of operation and the amount of blood loss were observed. The postoperative fasting time and postoperative hospitalization time were lower than those in the control group (P < 0.05), the quality of life, anal function score and excellent and good rate in the observation group were higher than those in the control group (P 0.010 and 0.009), and the incidence of postoperative complications in the observation group was lower than that in the control group (P0. 001). Conclusion the effect of modified Soave radical operation on Hirschsprung's disease in children is better than that of modified Duhamel radical operation. The postoperative complications are less, the anal function is improved, the quality of life is improved, and it is worth popularizing in clinic.
【作者单位】：海南省人民医院小儿外科;
【分类号】：R726.5

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