吻合器在小儿消化道重建术中的应用  

Application of anastomat in pediatric gastrointestinal reconstruction surgery

作　　者：李来元[1] 沈阳[1] 颜禄斌[1] 李斌德[1] 李刚[1] 

机构地区：[1]兰州大学第二医院小儿外科 甘肃省兰州市,730030

出　　处：《临床小儿外科杂志》2014年第2期143-144,147,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的：探讨吻合器在小儿消化道重建术中的应用。方法2007年5月至2012年8月我们对78例1岁以上患儿施行肠部分切除术，按传统吻合和吻合器吻合重建消化道分为两组，传统缝合组45例，吻合器缝合组33例。两组的吻合部位无明显差别。结果传统缝合组手术时间为（35±6）min，吻合器缝合组为（25±8）min （P＜0.05）；肠功能恢复时间传统吻合组（60±12）h，吻合器缝合组（50±15）h （P＜0.05）。传统缝合组出现吻合口瘘1例，吻合口狭窄1例，吻合口出血1例；吻合器缝合组仅出现吻合口出血1例。两组均无死亡病例。结论吻合器吻合重建消化道能缩短手术时间和肠功能恢复时间，减少并发症。Objetive To discuss the application of anastomat in pediatric gastrointestinal reconstruction surgery. Methods From May 2007 to August 201 2,78 cases suffering from partial bowel resectomy for chil-dren over 1 year old were enrolled in our study.According to the type of anastomotic,the patients were divided into two groups,including technique anastomosis of 45 cases,stapling anastomosis of 33 cases.There was no significant difference in the location of the anastomosis between the two groups. Results The time of anasto-mosis was 35 ±6 min and 25 ±8 min in technique group and appliance group,respectively （P〈0.05 ）.Post-operative recovery of gastrointestinal function was 60 ＆#177;1 2 h in technique group.In appliance group was（50 ±1 5）h,respectively （P＆lt;0.05 ）.There weren’t anastomotic leakage and anastomotic stenosis in appliance group.However,As far as handiwork group was concerned,one case appeared anastomotic leakage and one patient appeared anastomotic stenosis.Two groups all included one bleeding case.There wasn’t dead case in two groups. Conclusion The application of anastomat on operation could reduce the occurrence of anastomotic complications,shorten operating time and the time of postoperative recovery of gastrointestinal function.

关 键 词：胃肠吻合术 儿童 

分 类 号：R735.105[医药卫生—肿瘤]