腹腔镜下巨结肠根治术治疗小儿先天性巨结肠的临床疗效分析  

Clinical Analysis of Laparoscopic Radical Operation for Hirschsprung’s Disease in Children

作　　者：邵刚 SHAO Gang(Jinzhou Maternal and Infant Hospital,Jinzhou 121000,China)

机构地区：[1]锦州市妇婴医院,辽宁锦州121000

出　　处：《中国医药指南》2023年第3期86-88,共3页Guide of China Medicine

摘　　要：目的 试验将针对小儿先天性巨结肠患者应用腹腔镜下巨结肠根治术治疗,进一步分析患儿的病情控制成果,为其康复治疗提供策略。方法 试验选取小儿先天性巨结肠患者作为调研的主体,在时间段上则截取了2019年6月至2020年5月收治30例患儿,对照组患儿使用经过肛门巨结肠根治术,观察组患儿应用腹腔镜下巨结肠根治术治疗,对治疗情况进行记录。结果 从治疗上看,两组患儿手术用和麻醉时间的对比差异不大,但是在术中出血量和住院时间上则有明显差异,即观察组为(6.56±2.63)m L和(7.22±1.36)d,对照组则为(21.35±10.36)mL和(10.64±2.25)d,差异具有统计学意义。此外,在肛门功能的改善方面,本研究分析了患儿的Krickenbeck评分和排便频率。在术后1年,观察组Krickenbeck评分和排便频率分别为(8.44±0.72)分和(1.41±0.52)次/d,对照组则为(8.02±0.75)分和(2.04±0.51)次/d,差异具有统计学意义。与此同时,从患儿康复情况中看,观察组患儿的并发症发生率为6.67%,对照组则为40.00%,差异具有统计学意义。最后,我们调研了患儿家属满意率,即观察组家属的总满意率为93.33%(14/15),对照组则为66.67%(10/15),差异具有统计学意义。结论 采用腹腔镜下巨结肠根治术对小儿先天性巨结肠的治疗效果显著,患儿的病情康复良好,远期生活质量得到改善,具有临床推广价值。Objective The experiment will apply laparoscopic radical operation for children with Hirschsprung’s disease, further analyze the disease control results of children, and provide strategies for their rehabilitation. Methods Children with Hirschsprung’s disease were selected as the main body of investigation, and 30 children were taken from June 2019 to May 2020. The children in the control group were treated with a radical anorectal megacolon and the children in the observation group were treated with a laparoscopic megacolon, and the treatment was recorded.Results In terms of treatment, there was little difference in the comparison of the two groups of children in terms of surgical time and anaesthesia time, but there were significant differences in terms of intraoperative bleeding and hospital stay, i.e.(6.56±2.63) mL and(7.22±1.36) d in the observation group and(21.35±10.36) mL and(10.64±2.25) d in the control group, with statistically significant differences. In addition, in terms of improvement in anal function, the Krickenbeck score and frequency of defecation of the children were analysed in this study. At 1 year postoperatively, the Krickenbeck score and frequency of defecation were(8.44±0.72) points and(1.41±0.52) times a day respectively in the observation group, compared to(8.02±0.75) points and(2.04±0.51) times a day in the control group, with statistically significant differences.From the rehabilitation of children, the incidence of complications in the observation group was 6.67%, while that in the control group was 40.00%, the difference was statistically significant. Finally, we investigated the satisfaction rate of children’s families, that is, the total satisfaction rate of the families in the observation group was 93.33%(14/15), while that in the control group was 66.67%(10/15), and the difference was statistically significant. Conclusion Laparoscopic radical operation of Hirschsprung’s disease is effective in the treatment of congenital Hirschsprung’s disease in children. Chil

关 键 词：腹腔镜下巨结肠根治术 小儿先天性巨结肠 临床疗效 

分 类 号：R726[医药卫生—儿科]