改良Soave根治术与改良Duhamel根治术对先天性巨结肠症患儿的治疗效果  

Analysis of the therapeutic effect of modified Soave radical operation and modified Duhamel radical operation on children with congenital megacolon

作　　者：孙彬 SUN Bin(Department of Pediatric Surgery,Zibo Maternal and Child Health Hospital,Shandong,Zibo 255000,China)

机构地区：[1]山东省淄博市妇幼保健院小儿外科,山东淄博255000

出　　处：《中国医药科学》2021年第13期222-225,共4页China Medicine And Pharmacy

摘　　要：目的研究改良Soave根治术与改良Duhamel根治术对先天性巨结肠症患儿的治疗效果。方法选择2015年10月至2020年2月山东省淄博市妇幼保健院收治的先天性巨结肠症患儿60例作为研究对象,依据随机数字表法分为对照组和研究组,每组各30例。对照组接受改良Duhamel根治术,研究组接受改良Soave根治术,均术后观察3 d。比较两组手术时间、术中出血量、术后禁食时间及住院时间,术前、术后3 d肛门功能及术后3 d并发症发生率。结果研究组手术时间、术后禁食时间及住院时间与对照组相比均明显缩短;术中出血量与对照组比较明显减少,差异有统计学意义(P<0.05);术后3 d比较发现,两组Krickenbeck评分较术前均明显升高,且研究组与对照组相比明显升高,差异有统计学意义(P<0.05);两组肛管高压区长度与术前比变长,且研究组长于与对照组,肛门静息压与术前比升高,且研究组与对照组比升高,但两组比较,差异无统计学意义(P>0.05);术后3 d对比发现,研究组并发症总发生率为16.67%低于对照组的56.66%,差异有统计学意义(P<0.05)。结论改良Soave根治术与改良Duhamel根治术对先天性巨结肠症患儿的治疗效果比较,改良Soave根治术治疗效果更优,对患儿肛门功能远期恢复效果显著,同时可显著降低患儿术后并发症发生率,促进康复。Objective To study the therapeutic effect of modified Soave radical operation and modified Duhamel radical operation on children with congenital megacolon.Methods A total of 60 children with congenital megacolon admitted to Zibo Maternal and Child Health Hospital from October 2015 to February 2020 were selected as the research objects.According to the random number table method,the included subjects were divided into the control group and the study group,each containing 30 cases.The control group received modified Duhamel radical operation,and the study group received modified Soave radical operation,and both were observed for 3 days after surgery.The operation time,intraoperative blood loss,postoperative fasting time and hospital stay,anal function on the 3 rd day before and after the operation and the incidence of complications on the 3 rd postoperative day were compared between the two groups.Results The operation time,postoperative fasting time and hospital stay in the study group were significantly shorter than those in the control group;Intraoperative blood loss was significantly reduced compared with the control group,and the difference was statistically significant(P<0.05);Three days after operation,the Krickenbeck score of the two groups was significantly higher than that before operation,and the difference between the study group and the control group was statistically significant(P<0.05);The length of the anal hypertension zone in the two groups was longer than that before the operation,and was longer in the study group than in the control group.The anal resting pressure was higher than that before operation,and was higher in the study group than in the control group.However,the difference between the two groups was not statistically significant(P>0.05).After 3 days after operation,the total incidence of complications in the study group(16.67%)was lower than that in the control group(56.66%),and the difference was statistically significant(P<0.05).Conclusion Compared with the modified Duhamel radical o

关 键 词：先天性巨结肠症 改良Duhamel根治术 改良Soave根治术 肛门功能 并发症 

分 类 号：R726.5[医药卫生—儿科]