腹腔镜下行改良Soave术治疗新生儿先天性巨结肠临床分析

Clinical analysis on laparoscopic improved Soave operation for treating neonatal congenital megacolon

目的研究改良Soave术借助腹腔镜治疗新生儿先天性巨结肠的临床疗效。方法选择该院2010年3月至2013年7月收治的68例先天性巨结肠新生儿,分为两组,试验组(34例)住院后经系统检查后行腹腔镜下改良Soave手术治疗,对照组(34例)给予传统手术治疗,观察术后疗效。结果术中出血量、手术时间以及疼痛视觉模拟评分(VAS)比较,试验组效果均优于对照组(P<0.05);术后住院时间、肠蠕动恢复时间、禁食时间比较,试验组优于对照组(P<0.05)。结论腹腔镜下行改良Soave术治疗新生儿先天性巨结肠具有较好的临床效果。

Objective To study the clinical effect of laparoscopy-assisted improved Soave operation for treating neonatal congeni-tal megacolon .Methods 68 cases of neonatal congenital megacolon treated in our hospital from March 2010 to July 2013 were di-vided into 2 groups .The treatment group（34 cases） was performed the laparoscopy-assisted improved Soave operation after the sys-tematic examinations ,while the control group（34 cases） was given the conventional operation therapy .The postoperative curative effects were observed and compared between the two groups .Results The effects of intraoperative bleeding amount ,operative time and the pain score in the treatment group were superior to those in the control group with statistical difference between the two group（P〈0 .05）;the postoperative hospital stay ,postoperative intestinal peristalsis recovery time and fasting time in the treatment group were superior to those in the control group with statistical difference between the two group （P〈0 .05） .Conclusion Laparo-scope-assisted improved Soave operation has better effect for treating neonatal congenital megacolon and should be widely used in clinic .