微创手术与经肛门Soave术治疗先天性巨结肠的临床效果、并发症及生活质量分析  

Clinical efficacy,complications and quality of life in patients with congenital megacolon treated by minimally invasive surgery and transanal Soave

作　　者：蒋胜昌 

机构地区：[1]信阳市中心医院,河南信阳464000

出　　处：《腹腔镜外科杂志》2017年第10期761-764,共4页Journal of Laparoscopic Surgery

摘　　要：目的:分析微创手术与经肛门Soave术治疗先天性巨结肠的效果、并发症及生活质量。方法:回顾分析2015年9月至2017年1月60例先天性巨结肠患儿的临床资料,分为对照组(经肛门Soave术)与观察组(腹腔镜辅助Soave术),每组30例,对比两组手术效果、并发症及生活质量。结果:观察组术中出血量、肛门解剖时间及住院时间、肛门功能评分均优于对照组(P<0.05);观察组术后并发症总发生率(6.67%)低于对照组(30.00%),差异有统计学意义(P<0.05)。术后1个月,观察组躯体、情绪、社会、角色及整体生活评分均优于对照组(P<0.05)。结论:腹腔镜辅助Soave术治疗先天性巨结肠效果显著,可降低术后并发症发生率,改善肛门排便功能及生活质量。Objective：To analyze the efficacy ,complications and quality of life in patients with congenital megacolon treated by minimally invasive surgery and transanal Soave .Methods：The clinical data of 60 children with congenital megacolon who had received treatment in the hospital between Sep .2015 and Jan.2017 were retrospectively analyzed .These patients were divided into 2 groups：the control group was treated with transanal Soave （n=30）,and the observation group was given laparoscopic Soave （n=30）.The effica-cy,complications and life quality in the two groups were compared .Results：The intraoperative amount of bleeding ,time of anus dissec-tion,hospital stay and anal function in the observation group were better than those in the control group （P〈0.05）.The total incidence of postoperative complications in the observation group was 6.67%and lower than that in the control group ,which was 30.00%（P〈0.05）.After 1-month follow-up,scores of physical being,emotional health,social involvement,roles and overall life index in the obser-vation group were better than those in the control group （P〈0.05）.Conclusions：For the treatment of congenital megacolon, laparosco-py assisted Soave is of significant effect , can reduce the risk of postoperative complications and improve defecation function and life quality.

关 键 词：HIRSCHSPRUNG病 腹腔镜检查 经肛门SOAVE术 对比研究 

分 类 号：R726.5[医药卫生—儿科]