改良心形吻合法在不同类型小儿先天性巨结肠中的应用

发布时间：2018-08-27 06:25

【摘要】：目的研究改良心形吻合法治疗不同类型小儿先天性巨结肠的临床效果。方法选取小儿先天性巨结肠患者48例,采用随机数字法分为对照组和观察组,每组各24例。对照组患儿行Swenson术治疗,观察组患儿行改良心形吻合法。比较两组患儿的各手术效果指标及小肠结肠炎、吻合口瘘等并发症发生率,并比较两组患儿术后排便功能评分。结果观察组的术中出血量、术后禁食时间、住院时间及手术时间均明显低于对照组(P0.01);观察组的总并发症发生率为8.33%,对照组的总并发症发生率为33.33%,观察组明显低于对照组(X~2=4.55,P=0.03);观察组术后的排便功能优良率明显高于对照组(P0.01)。结论改良心形吻合法治疗不同类型小儿先天性巨结肠的效果显著,手术安全性较高,且术后并发症低,能有效促进生活质量和排便功能恢复,值得在临床推广。
[Abstract]:Objective to study the clinical effect of modified cardiac anastomosis in different types of children with Hirschsprung's disease. Methods 48 children with Hirschsprung's disease were randomly divided into control group and observation group with 24 cases in each group. The patients in the control group were treated with Swenson, and the children in the observation group were treated with modified cardiac anastomosis. The operative outcome indexes and complications such as enterocolitis and anastomotic fistula were compared between the two groups and the postoperative defecation function scores were compared between the two groups. Results the amount of intraoperative bleeding and fasting time after operation were observed in the observation group. The duration of hospitalization and operation was significantly lower than that of the control group (P0.01), the total complication rate of the observation group was 8.33 and the total complication rate of the control group was 33.333.It was obviously lower in the observation group than in the control group (Xan24.55 P0.03), and the excellent and good rate of defecation function in the observation group was significantly higher than that in the control group (P0.01). Conclusion the modified cardiostomy is effective in the treatment of different types of children with Hirschsprung's disease. The operation is safe and has low postoperative complications. It can effectively promote the quality of life and the recovery of defecation function. It is worth popularizing in clinical practice.
【作者单位】：佛山市妇幼保健院小儿外科;
【分类号】：R726.5

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