留置肛管预防先天性巨结肠根治术后吻合口瘘的临床观察  

Clinical observation of indwelling transanal tube on prevention of anastomotic leakage after congenital megacolon radical correction

作　　者：孙为增[1] 林海[1] 彭小旅[1] 

机构地区：[1]海南省人民医院小儿外科,海口570311

出　　处：《中国医师进修杂志》2016年第10期907-909,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的：观察留置肛管对预防先天性巨结肠根治术后吻合口瘘的疗效。方法将103例行先天性巨结肠手术的患儿按是否留置肛管分为留置组53例和未留置组50例，比较两组术中情况和术后并发症发生情况。结果两组手术时间、术中出血量和其他并发症（盆腔感染和切口裂开）发生率比较差异无统计学意义（P＞0.05）。留置组术后吻合口瘘发生率明显低于未留置组[0比12.0%（6/50）]，差异有统计学意义（P＜0.05）。结论留置肛管引流减压能够有效预防先天性巨结肠术后吻合口瘘的发生，具有较高的有效性和安全性。Objective To observe the effect of indwelling transanal tube on prevention of anastomotic leakage after congenital megacolon radical correction. Methods One hundred and three children who had underwent congenital megacolon radical correction were divided into indwelling group （53 cases） and no indwelling group （50 cases） according to the operation method, and the operation condition and incidence of complications was compared between 2 groups. Results There were no statistical differences in operation time, amount of bleeding during operation and incidence of other complications （pelvic infection and disruption of wound） （P〉0.05）. The incidence of anastomotic leakage in indwelling group was significantly lower than that in no indwelling group： 0 vs. 12.0% （6/50）, and there was statistical difference （P〈0.05）. Conclusions Indwelling transanal tube for drainage and decompression is effective in preventing the anastomotic leakage after congenital megacolon radical correction, and it has high effectivity and safety.

关 键 词：巨结肠 肛管 吻合口瘘 回顾性研究 

分 类 号：R726.5[医药卫生—儿科]