两种不同手术体位在小儿短段型巨结肠根治术中的应用

Application of two placements in infant megacolon radical operation

目的探讨两种不同手术体位在小儿短段型巨结肠根治术中的应用效果。方法将60例行经腹会阴行巨结肠根治术的先天性巨结肠患儿,根据手术次序分为对照组和观察组,每组各30例,对照组采用传统截石位,观察组采用悬吊式截石位。结果观察组手术野暴露优于对照组;皮肤不良反应的发生率低于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论采用悬吊式截石位可充分暴露经腹会阴行巨结肠根治术的术野,降低皮肤不良反应的发生。

Objective To compare the effects of two positions in the infant megacolon radical operation. Methods Sixty infants undergoing abdominal perineal megacolon radical operation were randomly divided into the control group and the observation group in equal number. The former took the traditional lithotomy position and the latter modified suspended lithotomy position. Results The operative exposures in the observation group were much more sufficient than that of the control group （P 〈 0.05）. While adverse skin reactions in the observation group were more uncommon than those of the control group （P 〈 0.05）. Conclusion The suspended lithotomy position may provide a better exposure and result in fewer adverse skin reactions during the abdominal perineal megacolon radical operation.