Swenson术与Torre术在先天性巨结肠治疗上的对比研究

Contrast Research of Swenson Technique and Torre on the Treatment of Congenital Megacolon

目的:探讨Swenson术和Torre术在治疗先天性巨结肠方面的优缺点。方法:将40例先天性巨结肠病人按完全随机方法分成两组并分别行手术治疗:A组(Swenson术,n=20)和B组(Torre术,n=20),针对两组患者在手术中可能出现的输尿管损伤、肠扭转、肠系膜紧张等并发症,或术后早期出现的吻合口瘘、尿潴留等并发症,术后晚期出现的切口疝、污粪、大便失禁、便秘、腹泻、小肠结肠炎、粘连性肠梗阻、复发等并发症进行记录,并分别测量术前、术后1月、术后3月、术后1年时病人的肛管直肠角。结果:两组病人在术中并发症、术后早期并发症、术后晚期并发症和各时间点的肛管直肠角均无显著性差异。结论:两种术式虽然在并发症方面无明显差异,但Torre术手术创伤更小,更体现微创外科的现代理念,值得推广应用。

Objective： To investigate the Swenson and Torre advantages and disadvantages of surgery in the treatment of congeni- tal megacolon. Methods： 40 cases of congenital megacolon patients into two groups by A completely random method and surgical treatment： group A （Swenson, n = 20） and group B （Torre, n = 20）, in view of the two groups of patients in the surgery of ureteral injury may occur, volvulus, mesenteric complications such as tension, or early postoperative complications such as anastomotic fistula, urine retention, postoperative incision hernia, late fouling dung, fecal incontinence, constipation, diarrhea, enterocolitis, adhesion sex intesti- nal obstruction, recurrent complications such as records, and measured the preoperative and postoperative 1 in 1 month, 3 months after operation, postoperative patients with anorectal Angle. Results： two groups of patients in the late intraoperative complications, early postoperative complications, postoperative complications and anorectal Angle at each point in time there was no significant difference. Conclusion： the two kinds of operation while no obvious difference in complications, but Torte less surgical trauma, more display the modern concept of minimally invasive surgery, is worthy of popularization and application.