摘要
目的:分析用经肛门改良Soave术治疗小儿先天性巨结肠的效果及安全性。方法:将2018年12月至2021年3月无锡市儿童医院收治的68例先天性巨结肠患儿纳入本研究。按照入院时间的不同将其分为常规组(n=34)和试验组(n=34)。用改良Swenson术对常规组患儿进行治疗,用经肛门改良Soave术对试验组患儿进行治疗,然后比较两组患儿的各项临床指标。结果:试验组患儿手术的时间、术后住院的时间和术后使用抗生素的时间均更短,其术中的出血量更少,差异有统计学意义(P<0.05)。试验组患儿术中、术后早期和术后晚期并发症的发生率均低于常规组患儿,差异有统计学意义(P<0.05)。结论:与用改良Swenson术治疗小儿先天性巨结肠相比,用经肛门改良Soave术治疗此病能更有效地缩短患儿手术的时间和术后恢复的时间,减少其术中的出血量,降低其术中及术后并发症的发生率。
Objective:To analyze the efficacy and safety of modified transanal Soave in the treatment of hirschsprung’s disease in children.Methods:A total of 68 children with hirschsprung’s disease admitted to Wuxi Children’s Hospital from December 2018 to March 2021 were enrolled in this study.According to the time of admission,they were divided into conventional group(n=34)and experimental group(n=34).The children in the conventional group were treated with modified Swenson surgery,and the children in the experimental group were treated with modified Soave transanal surgery,and then the clinical indicators of the two groups were compared.Results:The operation time,postoperative hospitalization time and postoperative antibiotic use time were shorter in the experimental group,and the intraoperative blood loss was less,with statistical significance(P<0.05).The incidence of intraoperative,early pos toperative and late postoperative complications in the experimental group was lower than that in the conventional group,with statistical significance(P<0.05).Conclusion:Compared with modified Swenson for the treatment of hirschsprung’s disease in children,modified Soave through anus can shorten the operation time and postoperative recovery time more effectively,reduce the amount of intraoperative blood loss,and reduce the incidence of intraoperative and postoperative complications.
作者
丁晔
黄梦玲
DING Ye;HUANG Mengling(Wuxi Children’s Hospital,Wuxi Jiangsu 214000)
