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经肛门与经腹Soave先天性巨结肠根治术的比较
Comparison of Transanal Endorectal Pull-through Rectosigmoidectomy and Transperitoneal for Hirschsprung’s Disease
【摘要】 目的:比较分析经肛门与经腹Soave先天性巨结肠根治术的创伤大小和治疗效果。方法:将2005年12月-2010年10月本院收治的先天性巨结肠患儿并经手术治疗的35例患者随机分为A、B组,分别行经肛门或经腹传统Soave巨结肠根治术,比较两组的创伤大小和术后并发症发生率。结果:A组在术中出血量、术后禁食时间、平均住院日、术后小肠结肠炎和术后肠粘连发生率等方面明显优于B组,两组在手术时间、吻合口瘘与狭窄方面的比较无明显差异。结论:经肛门Soave先天性巨结肠根治术在手术创伤、美观和术后并发症等方面优于传统方法。
【Abstract】 Objective: To compare the effect of transanal endorectal pull-through rectosigmoidectomy with trans- peritoneal for Hirschsprung’s Disease. Method:Collected 35 patients who were selected from December 2005 to October 2010 in author’s hospital with Hirschsprung’s disease,and divided into Group A and B with their well,which respectively, used transanal endorectal pull-through rectosigmoidectomy or trans peritoneal. Result: Group A was better than Group B in blood missing,shortting the fasting time, the average days in hospital, and reduce the incidence of postoperative adhesions.The two groups had no significant difference in operative time, Anastomotic leakage and anastomotic stenosis.Conclusion: Transanal endorectal pull-through rectosigmoi-dectomy is superior to traditional methods.
【Key words】 Transanal endorectal pull-through rectosigmoide; Congenital Hirschsprung’s Disease; Effect;
- 【文献出处】 中国医学创新 ,Medical Innovation of China , 编辑部邮箱 ,2012年22期
- 【分类号】R726.5
- 【被引频次】2
- 【下载频次】27