上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2018, Vol. 38 ›› Issue (7): 841-.doi: 10.3969/j.issn.1674-8115.2018.07.024

• 短篇论著 • 上一篇    下一篇

腹腔镜下行Soave根治术治疗先天性巨结肠患儿的疗效评估

董琦，孙为增，王玉芸，张京   

  1. 海南省人民医院小儿外科，海口570013
  • 出版日期:2018-07-28 发布日期:2018-07-30
  • 作者简介:董琦（1977—），男，副主任医师，硕士；电子信箱：dqearth@163.com。
  • 基金资助:
    海南省自然科学基金(817309)

Efficacy evaluation of laparoscopic-assisted Soave radical operation in the treatment of children with congenital megacolon

DONG Qi, SUN Wei-zeng, WANG Yu-yun, ZHANG Jing   

  1. Department of Pediatric Surgery, Hainan General Hospital, Haikou 570013, China
  • Online:2018-07-28 Published:2018-07-30
  • Supported by:
    Natural Science Foundation of Hainan Province of China, 817309

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摘要： 目的·研究腹腔镜辅助下的Soave根治术在先天性巨结肠患儿中的应用及治疗效果。方法·收集2012年3月—2015年9月于海南省人民医院行腹腔镜辅助下Soave根治术的148例先天性巨结肠患儿的临床资料，回顾性分析患儿的手术时间、术中出血量、住院期间并发症和随访期间并发症。结果· 148例患儿均顺利完成腹腔镜手术。平均手术时间为（121.66±22.98）min，术中平均出血量为（4.86±0.66）mL。患儿住院期间并发症发生率为8.10%，无腹腔出血和吻合口漏等近期并发症。术后随访24个月中，1例患儿于术后6个月出现吻合口狭窄，扩肛治疗后痊愈；患儿术后3个月内大便呈糊状，6～12个月后基本正常，排便功能优良率为97.97%；患儿腹胀、便秘等临床症状均消失。结论·腹腔镜辅助下行Soave根治术治疗先天性巨结肠患儿安全有效、并发症少，患儿术后恢复快，具有良好的近期和远期临床疗效。

关键词: 先天性巨结肠, 腹腔镜, Soave根治术, 临床疗效

Abstract:

Objective · To evaluate the clinical efficacy of laparoscopic-assisted Soave radical operation in the treatment of children with congenital megacolon. Methods · The clinical datum of 148 pediatric patients with congenital megacolon who had underwent laparoscopic-assisted Soave radical operation in Hainan General Hospital Mar. 2012 to Sept. 2015 were collected. Operation time, blood volume lost during the operation, complication incidence during the hospitalization and follow-up period were analyzed, retrospectively. Results · All 148 patients were finished the surgery successfully. Operation time was (121.66±22.98) min, blood volume lost during the operation was (4.86±0.66) mL. During the hospitalization, the incidence of complications was 8.10%. There were no short-term complications observed on abdominal bleeding and anastomotic leakage. The patients were followed up for 24 months, there was one patient with anastomotic stoma stenosis at the 6 months after the operation, who recovered after the treatment of anal dilation. All the pediatric patients′ stool were mushy within 3 months after the operation, and they recovered to normal at the 6-12 months. The excellent rate of defecation function was 97.97%. There were no symptoms of bloated abdomen and astriction for all the patients during the follow-up period. Conclusion · Laparoscopic-assisted Soave radical operation is effective and safe for the treatment of children with congenital megacolon, with few complications, quick recovery, good short-term and long-term clinical effect.

Key words: congenital megacolon, laparoscopy, Soave radicaloperation, clinical efficacy

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