腹腔镜下改良Soave巨结肠根治术的临床疗效分析

目的:对比分析腹腔镜下改良Soave巨结肠根治术与Ikeda术治疗婴幼儿先天性巨结肠症的临床疗效。方法:为60例先天性巨结肠症患儿分别行腹腔镜下改良Soave巨结肠根治术与传统Ikeda术,对比两组患儿术前及术后4 h、8 h、12 h、24 h的平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO2),术后疼痛评分,切口愈合情况,采用Kelly评分标准观察中远期手术效果。结果:两组手术均获成功,腹腔镜组术后各时点MAP、HR和疼痛评分均低于Ikeda组,且术后切口愈合良好,并发症少。结论:腹腔镜下改良Soave巨结肠根治术具有患儿创伤轻、疤痕小、术后康复快、并发症少等优点,安全可靠,充分体现了微创手术的优越性,值得推广应用。

The clinical observation of the modified Soave laparoscopic surgery

Objective:To compare the clinical effects of the modified Soave laparoscopic surgery with Ikeda for infants with congenital Hirschsprung’s diseases.Methods:Sixty cases with congenital Hirschsprung’s diseases underwent the modified Soave laparoscopic surgery or Ikeda radical resection.The mean arterial pressure(MAP),heart rate(HR),oxygen saturation(SpO2) and postoperative pain score before operation,4 h,8 h,12 h and 24 h after operation,wound healing and the mid-term and long-term surgical effects using Kelly score were observed.Results:The operations were successful,MAP,HR and pain scores of laparoscopic surgery group at every moment were lower than those of Ikeda group,laparoscopic group healed well after operation with fewer complications.Conclusions:The modified Soave laparoscopic surgery is safe and reliable with light wounds,small scar,rapid postoperative recovery and few complications,it fully embodies the advantages of minimally invasive surgery and is worth promoting.