摘要
目的探讨经肛门改良Soave术在小儿先天性巨结肠中的应用效果。方法选取2017年9月—2020年9月到泉州市第一医院接受治疗的30例先天性巨结肠患儿为研究对象,均行肛门改良Soave术治疗,统计患儿手术指标、Krickenbeck评分、并发症发生率情况。结果患儿的手术时间、术中出血量、住院时间、抗生素使用时间分别为(72.07±6.87)min、(125.11±15.68)mL、(13.01±0.49)d、(5.68±1.32)d;治疗后的优良率为90.00%(27/30),其中优25例(83.00%)、良2例(6.67%)、一般2例(6.67%)、差1例(3.33%)。30例患儿中,2例术后出现高热现象,给予抗生素体温3~4 d后得到有效控制;1例患儿术后出现肠炎,经治疗后症状逐渐减轻。结论经肛门改良Soave术具有显著的临床应用价值,能够缩短患儿的手术时间、减少术中出血量,促进胃肠功能恢复,利于加快患儿康复速度,且安全性良好,值得推广。
Objective To explore the effect of transanal modified Soave operation in children with Hirschsprung's disease.Methods 30 children with Hirschsprung's disease who were treated in our hospital from September 2017 to September 2020 were selected as the research objects.Modified Soave operation of the anus was used for the treatment.The surgical indicators,Krickenbeck score,and complications of the children before and after the treatment were compared.Incidence situation.Results The operation time,intraoperative blood loss,hospitalization time,and antibiotic use time of the child were(72.07±6.87)min,(125.11±15.68)mL,(13.01±0.49)d,(5.68±1.32)d,respectively;after treatment,The excellent and good rate of 30 children was 90.00%(27/30),of which 25 cases were excellent(83.00%),2 cases were good(6.67%),2 cases were fair(6.67%),and 1 case was poor(3.33%);30 cases Among the children,2 cases developed high fever after operation.After antibiotic treatment,the body temperature was effectively controlled after 3-4 days;1 case developed enteritis after operation,and the symptoms gradually alleviated after treatment.Conclusion Transanal Modified Soave operation has significant clinical application value.It can shorten the operation time of children,reduce intraoperative blood loss,promote the recovery of children's gastrointestinal function,and speed up the recovery of children.It is safe and worthy of promotion.
作者
林鸿坡
戴育坚
王英俊
郑辉明
Lin Hongbo;Dai Yujian;Wang Yingjun(The First Hospital of Quanzhou City,Quanzhou,Fujian 362200)
出处
《基层医学论坛》
2022年第7期138-140,共3页
The Medical Forum
关键词
小儿先天性巨结肠
经肛门改良Soave术
疗效
安全性
Congenital megacolon in children
Modified transanal Soave operation
Curative effect
Security
