快速康复外科联合腹腔镜技术在先天性肛门闭锁手术中的应用  

Application of Fast Track Surgery Combined with Laparoscopic Thehnology in Operation for Congenital Imperforate Anus

作　　者：曾祥勇 李辉兵 陈快[1] 刘智文[1] 樊纬[1] 徐美汉[1] 陶强[1] ZENG Xiang-yong;LI Hui-bing;CHEN Kuai;LIU Zhi-wen;FAN Wei;XU Mei-han;TAO Qiang(Jiangxi Provincial Children's Hospital,Nanchang330046)

机构地区：[1]江西省儿童医院,南昌330046

出　　处：《实用中西医结合临床》2022年第11期10-14,共5页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨快速康复外科(FTS)理念联合腹腔镜技术在高位先天性肛门闭锁手术中的临床应用效果。方法:选取2019年1月至2021年7月新生儿外科收治的高位先天性肛门闭锁患儿40例为研究对象,按照治疗方案不同分为对照组(n=20)与观察组(n=20)。对照组实施单纯腹腔镜下手术,观察组在实施腹腔镜手术治疗的基础上联合康复外科理念治疗。观察比较两组术中、术后各项观察指标,包括住院时间、术后肠道恢复情况、术后并发症发生情况。结果:两组手术时间和术中出血量比较,差异无统计学意义(P>0.05);观察组和对照组术后肠道恢复功能时间分别为(20.00±6.00)d和(30.60±5.20)d,观察组恢复时间明显短于对照组,差异具有统计学意义(P<0.05);观察组和对照组总住院时间分别为(6.13±2.00)d和(12.00±3.00)d,观察组总住院时间明显少于于对照组,差异具有统计学意义(P<0.05);观察组和对照组术后并发症发生率分别为15.00%和25.00%,两组比较差异无统计学意义(P>0.05);观察组和对照组满意度分别为95.00%和55.00%,观察组满意度明显高于对照组,差异具有统计学意义(P<0.05)。结论:针对高位先天性肛门闭锁患儿,围手术期采用快速康复外科理念联合腹腔镜技术治疗,可有效减轻患儿手术应激,显著缩短住院时间,加快术后肠道功能恢复,明显改善患儿的生存质量,加速高位先天性肛门闭锁术后康复速度。Objective:To investigate the clinical application effect of the concept of fast track surgery(FTS)combined with laparoscopy thehnology in high congenital imperforate anal.Methods:From January 2019 to July 2021,40 children with high congenital imperforate anal admitted to neonatal surgery department were selected as the study subjects,and divided into control group(n=20)and observation group(n=20)according to different treatment plans.The control group was treated with simple laparoscopic surgery,and the observation group was treated with the concept of fast track surgery on the basis of laparoscopic surgery.The intraoperative and postoperative observation indexes of the two groups were observed and compared,including the length of hospital stay,postoperative intestinal recovery,and the incidence of postoperative complications.Results:There was no significant difference in operation time and intraoperative bleeding between the two groups(P>0.05);The postoperative intestinal function recovery time of the observation group and the control group were(20.00±6.00)days and(30.60±5.20)days,respectively,the time in the observation group was significantly shorter than that in the control group,and the difference was statistically significant(P<0.05);The total hospitalization time of the observation group and the control group was(12.00±3.00)days and(6.13±2.00)days respectively,which was significantly less in the observation group than in the control group(P<0.05);The incidence of postoperative complications in the observation group and the control group were 15.00%and 25.00%respectively,the incidence of the observation group was significantly lower than the control group,and the difference was not significant(P>0.05);The satisfaction of the observation group and the observation group were 95.00%and 55.00%respectively,the satisfaction of the observation group was significantly higher than the control group,and the difference was statistically significant(P<0.05).Conclusion:For children with high congenital imperforate a

关 键 词：高位先天性肛门闭锁 腹腔镜手术 快速康复外科理念 

分 类 号：R657.1[医药卫生—外科学]