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目的通过临床实验探究改良Swenson术和经肛门Soave术治疗小儿先天性巨结肠的临床效果。方法 2010年至2011年青岛市妇女儿童医院收治36例先天性巨结肠病的儿童,将所有患儿随机分为观察组和对照组,每组18例,分别采用改良Swenson术和经肛门Soave术对其进行治疗,比较两组患者在手术时间、手术后的并发症及术后排便功能等情况。结果观察组和对照组手术时间分别为(158.2±22.0)min、(191.2±27.6)min;术后并发症发生率分别为20.1%和36.0%,术后6~7个月排便优良率分别为94.4%和83.3%,两组患儿的手术时间、术后并发症发生率、术后6~7个月排便情况比较,差异均具有统计学意义(P均<0.05)。结论改良Swenson术有创伤小、疗效佳、恢复迅速的特点,并且Swenson术比经肛门Soave术操作更加简单,术后并发症更少,排便优良率也更高。
Objective To investigate the clinical effects of modified Swenson and transanal Soave in the treatment of Hirschsprung’s disease in children. Methods From March 2010 to March 2011, 36 children with Hirschsprung’s disease were admitted to Qingdao Women’s and Children’s Hospital. All children were randomly divided into observation group and control group, with 18 cases in each group. The patients were treated with modified Swenson and transanal Soave The patients were treated. The operation time, postoperative complications and postoperative defecation function were compared between the two groups. Results The operative time of observation group and control group were (158.2 ± 22.0) min and (191.2 ± 27.6) min, respectively. The postoperative complication rates were 20.1% and 36.0% respectively. The postoperative defecation rates at 6-7 months were 94.4%, and 83.3% respectively. There was significant difference in the operation time, postoperative complication rate and postoperative defecation between 6 and 7 months in both groups (all P <0.05). Conclusion The modified Swenson has the advantages of less trauma, better curative effect and quicker recovery. Swenson operation is more simpler than anus Soave operation, with fewer postoperative complications and better defecation rate.