Hem-o-10k在腹腔镜肛门成形术中的应用 |
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引用本文: | 李旭,管考平,刘树立,乔国梁,董宁,李颀,李龙.Hem-o-10k在腹腔镜肛门成形术中的应用[J].中国微创外科杂志,2014(12):1116-1118. |
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作者姓名: | 李旭 管考平 刘树立 乔国梁 董宁 李颀 李龙 |
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作者单位: | 首都儿科研究所附属儿童医院外科,北京100020 |
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摘 要: | 目的探讨Hem-o—lok在腹腔镜肛门成形术处理直肠尿道瘘中的价值。方法2012年1月~2013年12月采用腹腔镜治疗15例中高位肛门闭锁,在距球部、膜部或膀胱颈部尿道0.5cm处应用Hem—o—lok夹闭瘘管处理直肠尿道瘘。结果均在腹腔镜辅助下完成肛门成形+尿道瘘修补术,腹腔镜手术(包括会阴手术)操作时间90~150min(平均120rain)。出血量10~20ml(平均15m1),无需要输血者,无术中并发症发生。术后7d拔除尿管,无排尿困难。15例随访2~12个月(平均5个月),术后排尿功能基本正常,无尿道瘘复发,无尿道狭窄发生,肛门外观正常,2例患儿轻度直肠黏膜脱垂。结论腹腔镜辅助下Hem-o-lok夹闭处理直肠尿道瘘,更加精准、方便,降低手术难度,可取得满意的治疗效果。
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关 键 词: | 儿童 先天性肛门直肠畸形 Hem—o—lok 腹腔镜 |
Application of Hem-o-lok in Laparoscopic Assisted Anorectal Pull-through |
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Institution: | Li Xu, Guan Kaoping, Liu Shuli, et al.( Department of Surgery, Affiliated Childen's Hospital of Capital Institute of Pediatrics, Beijing 100020, China) |
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Abstract: | Objective To evaluate the application of the Hem-o-lok for the treatment of rectal urethral fistula in laparoscopic assisted anorectal pull-through. Methods Fifteen patients with high imperforate anus were retrospectively reviewed in our hospital from January 2012 to December 2013. The rectal urethra fistula was shut by the Hem-o-lok at the O. 5 em from the end of the fistula. Results All the patients were successfully treated by laparoscopic assisted anorectal pull-through with fistula repair. The operative time ranged 90 - 150 min (median, 120 min). The mean blood loss was 15 ml (range, 10 -20 ml) during the operation and no blood transfusion was required. All the patients had no intraoperative complications. The mean follow-up time was 5 months (range, 2 - 12 months). There was no patient suffered from recurrent fistula. The appearance of the neo-anus was normal. Two patients suffered from slight mucosa prolapse. Conclusion The application of the Hem-o-lok for the treatment of rectal urethral fistula in laparoscopic assisted anorectal pull-through is accurate, convenient, and time saving, achieving satisfactory results. |
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Keywords: | Children Anorectal malformation Hem-o-lok Laparoscopy |
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