摘要
目的分析结肠镜、腹腔镜双镜联合治疗广基底结肠息肉的临床效果及并发症发生情况。方法回顾河南省儿童医院普外科在2018年1月至2022年12月期间收治的70例广基底结肠息肉患儿临床及治疗资料。按手术方法差异分为两组,其中对照组36例,采用开腹手术;观察组34例,采用结肠镜、腹腔镜双镜联合根治术;对比两组手术效果及相关并发症发生情况。结果观察组手术操作时间长于对照组,操作时出血量少于对照组,手术结束后肛门恢复排气、排便的时间、总的住院时间短于对照组(P<0.05)。观察组术后并发症发生率2.94%低于对照组的22.22%,家长对手术切口的满意度94.12%高于对照组的66.67%,差异有统计学意义(P<0.05)。结论结肠镜、腹腔镜双镜联合根治术治疗广基底结肠息肉,具有微创性、安全性高等优势。
Objective To analyze the clinical effect and complications of colonoscopy and laparoscopic double scopy in the treatment of broad-basal colon polyps.Methods The clinical and treatment data of 70 children with broad-basal colon polyps admitted to the Department of General Surgery of Henan Children's Hospital from January 2018 to December 2022 were reviewed.According to the differences in surgical methods,it was divided into two groups,of which 36 cases in the control group were operated by open surgery;In the observation group,34 cases were treated with colonoscopy and laparoscopic double scopy combined with radical resection;The surgical effects and related complications of the two groups were compared.Results The observation group had a longer operation time than the control group,less blood loss during the operation,and the exhaust,defecation time,and total hospital stay were shorter than those in the control group(P<0.05).The postoperative complication rate in the observation group was 2.94%lower than that in the control group at 22.22%,and the parents'satisfaction with the surgical incision was 94.12%higher than that in the control group at 66.67%,and the difference was statistically significant(P<0.05).Conclusion The treatment of broad-basal colonic polyps by colonoscopy and laparoscopic double scopy combined with radical resection has the advantages of minimally invasive and high safety.
作者
马春淼
周良
耿宪杰
侯广军
MA Chun-miao;ZHOU Liang;GENG Xian-jie;HOU Guang-jun(Department of General Surgery,Children's Hospital Affiliated to Zhengzhou University,Henan Children's Hospital,Zhengzhou Children's Hospital,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2024年第1期97-98,共2页
Journal of Rare and Uncommon Diseases
基金
河南省医学科技攻关计划项目(LHGJ20200654)。
关键词
广基底结肠息肉
结肠镜
腹腔镜
Broad Basal Colon Polyps
Colonoscopy
Celioscope
