CAJ | 학술논문

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。
목적：탐토량충불동수술체위재소인단단형거결장근치술중적응용효과。방법장60례행경복회음행거결장근치술적선천성거결장환인，근거수술차서분위대조조화관찰조，매조각30례，대조조채용전통절석위，관찰조채용현조식절석위。결과관찰조수술야폭로우우대조조；피부불량반응적발생솔저우대조조，량조비교，차이구유통계학의의（균P＜0.05）。결론채용현조식절석위가충분폭로경복회음행거결장근치술적술야，강저피부불량반응적발생。
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.