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目的分析和研究经脐腹腔镜与常规腹腔镜治疗先天性巨结肠的疗效。方法先天性巨结肠患儿58例,将其按双盲随机方法分为观察组(29例)与对照组(29例)。对照组患儿采用常规腹腔镜治疗方法给予治疗;观察组患儿采用经脐腹腔镜治疗方法给予治疗,将两组患儿治疗效果进行对比。结果观察组患儿术后小肠结肠炎及治疗1年后腹胀发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论将经脐腹腔镜手术方法应用于先天性巨结肠患儿的治疗中,对患儿机体创伤性较小,降低了术后并发症发生几率,利于患儿术后恢复,对提高患儿生活质量有重要意义。
Objective To analyze and study the efficacy of transvaginal laparoscopy and conventional laparoscopic treatment of Hirschsprung’s disease. Methods 58 cases of children with Hirschsprung ’s disease were divided into observation group (n = 29) and control group (n = 29) by double - blind randomized method. Control group of children treated by conventional laparoscopic treatment; observation group of children treated by transumbilical laparoscopic treatment, the treatment effect of two groups were compared. Results The incidence of postoperative enterocolitis in the observation group and the incidence of bloating after 1 year were significantly lower than those in the control group (P <0.05). Conclusions Transvaginal laparoscopic surgery in children with Hirschsprung’s disease can reduce the risk of postoperative complications and improve postoperative recovery in children with congenital megacolon. Quality is important.