端端180°旋转吻合术在新生儿肠闭锁中的应用  

Application of 180°end-to-end rotational anastomosis in neonatal

作　　者：王琨尧 杨伟巍 雷映菡 高秉钧 庄岩[1] WANG Kun-yao;YANG Wei-wei;LEI Ying-han;GAO Bing-jun;ZHUANG Yan(Department of Pediatric Surgery,Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院小儿外科,山东济南250012

出　　处：《中国现代普通外科进展》2024年第3期209-212,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:先天性小肠闭锁主要的手术方式为肠切除肠吻合术,探讨端端180°旋转肠吻合术在新生儿肠闭锁中的临床应用效果。方法:回顾性分析17例新生儿肠闭锁进行用端端180°旋转肠吻合术的临床资料,并与同时期进行的25例传统的端端吻合术进行对比,分析比较两种不同术式的临床效果。结果:所有患儿术后均进行6~12月随访,端端180°旋转吻合术患儿术后胃肠功能恢复时间、进食时间、住院天数、术后并发症发生率均优于传统端端吻合患儿(P<0.05)。结论:端端180°旋转吻合术操作简单,吻合端两侧血管重建均等,吻合口成角较小,与传统端端吻合术相比其术后胃肠功能术后恢复快,吻合口瘘、肠梗阻等并发症发生率较低,可为临床提供一种新的手术思路。Objective:Congenital intestinal atresia is one of the most common causes of neonatal intestinal obstruction.The purpose of this study was to investigate the clinical effect of end-to-end 180°rotation enterostomy in neonatal intestinal atresia.Methods:The clinical data of 17 cases of neonatal intestinal atresia with 180°end-to-end rotation enterostomy were retrospectively analyzed and compared with 25 cases of traditional end-to-end enterostomy in the same period.Results:All children were followed up from 6 to 12 months after operation.there was no significant difference in basic information,atresia site,type and birth weight between end-to-end rotional anastomosis group and traditional end-to-end anastomosis group.The postoperative gastrointestinal function recovery time,feeding time,hospital stay and postoperative complication rate in the 180°end-to-end rotational anastomosis group were superior to those in the traditional end-to-end anastomosis group(P<0.05).Conclusion:End-to-end 180°rotational anastomosis is easy to operate,with equal vascular reconstruction on both sides of the anastomotic end and smaller anastomotic Angle.Compared with the traditional end-to-end anastomosis,its postoperative gastrointestinal function recovery is faster,the incidence of anastomotic leakage,intestinal obstruction and other complications is lower,which can provide a new surgical idea for clinicians.

关 键 词：新生儿肠闭锁 肠吻合术 并发症 

分 类 号：R762.1[医药卫生—耳鼻咽喉科]