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目的探讨腹腔镜辅助治疗婴幼儿先天性巨结肠的临床效果。方法 88例先天性巨结肠患儿,将其分为观察组(44例采用腹腔镜辅助治疗)和对照组(44例采用开腹手术治疗)。对两组患儿的手术情况及其并发症进行对比分析。结果两组患儿的手术时间比较差异无统计学意义(P>0.05);观察组患儿的术中出血量、肠道平均恢复时间及住院时间均明显优于对照组,差异均具有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论采用腹腔镜辅助治疗婴幼儿先天性巨结肠,能够有效降低手术创伤,促进患儿术后及早康复,值得临床推广。
Objective To investigate the clinical effect of laparoscopic assisted treatment of Hirschsprung’s disease in infants. Methods 88 children with Hirschsprung ’s disease were divided into observation group (44 cases with laparoscopic adjuvant therapy) and control group (44 cases were treated with laparotomy). The two groups of children with surgery and complications were compared. Results There was no significant difference in operative time between the two groups (P> 0.05). The intraoperative blood loss, mean intestinal recovery time and hospital stay in the observation group were significantly better than those in the control group, with statistical differences Significance (P <0.05). There was no significant difference in the complication rates between the two groups (P> 0.05). Conclusion Laparoscopic treatment of Hirschsprung’s disease in infants and young children can effectively reduce the surgical trauma and promote early recovery after surgery, worthy of clinical promotion.