经肛门改良Soave术与经腹手术治疗先天性巨结肠的临床疗效及安全性比较.docVIP

经肛门改良Soave术与经腹手术治疗先天性巨结肠的临床疗效及安全性比较 　　[摘要]目的 比较经肛门改良Soave术和经腹手术治疗先天性巨结肠的临床效果和安全性。方法 选取我院2014年1月～2017年6月收治的先天性巨结肠患儿100例，将其随机分为对照组（50例）和观察组（50例），分别给予经腹手术和经肛门改良Soave术治疗。比较两组患者的手术时间、胃肠功能恢复时间、住院时间，排便功能以及并发症发生情况。结果 观察组的手术时间、胃肠功能恢复时间、住院时间显著短于对照组（P0.05）。观察组完全自主大便比例显著高于对照组，污粪比例低于对照组，差异有统计学意义（P0.05）。观察组的并发症发生率为6.00%，显著低于对照组的28.00%（P0.05）。结论 先天性巨大结肠采用经肛门改良Soave术治疗的效果更显著，安全性高，可以作为先天性巨大结肠的首选术式。 　　[关键词]经肛门改良Soave术；经腹手术；先天性巨结肠；疗效；安全性 　　[中图分类号] R726.1 [文献标识码] A [文章编号] 1674-4721（2017）11（a）-0112-03 　　Comparison of clinical efficacy and safety of transanal modified Soave and transabdominal surgery treating Hirschsprung disease 　　GUO Qiu-peng HU Zuo-zhen HE Xun WU Yue LI Jun-jie WANG Yong 　　Department of Pediatric Surgery，Maternal and Child Health Hospital of Jiujiang City in Jiangxi Province，Children′s Hospital of Jiujiang City in Jiangxi Province，Jiujiang 332000，China 　　[Abstract]Objective To compare the clinical effect and safety of transanal modified Soave and transabdominal surgery treating Hirschsprung disease.Methods 100 children with Hirschsprung disease treated in our hospital from January 2014 to June 2017 were selected and they were randomly divided into the control group （50 cases） and the observation group （50 cases），and abdominal surgery and transanal modified Soave was performed respectively.The operation time，gastrointestinal function recovery time，hospitalization time，defecation function and incidence of complications were compared between the two groups.Results The operation time，the recovery time of gastrointestinal function and hospitalization time in the observation group were significantly shorter than those in the control group （P0.05）.The proportion of fully autonomous stool in the observation group was significantly higher than that in the control group，and the proportion of fecal manure was lower than that of the control group，the difference was statistically significant （P0.05）.The incidence of complications of the observation group was 6.0%，which was