CAJ | 학술논문

目的：观察分析在腹腔镜辅助下进行巨结肠根治术对先天性巨结肠的临床效果。方法选取我院从2010年5月至2013年5月之间收治先天性巨结肠患儿作研究对象，随机选取实施腹腔镜辅助下巨结肠根治术患儿35例作为实验组，另选取实施传统开腹巨结肠根治术患儿31例作为对照组，对比观察两组患儿临床治疗效果。结果实验组手术时间及术中出血量明显低于对照组，术后肠蠕动时间、住院时间及术后并发症显著少于对照组，P＜0.05，差异有统计学意义。结论对先天性巨结肠患儿在腹腔镜辅助下实施巨结肠根治术，相比传统开腹术式，手术时间与出血量显著减少，术后恢复明显加快，治疗时间缩短，且并发症较少，具有更为理想的临床效果。
목적：관찰분석재복강경보조하진행거결장근치술대선천성거결장적림상효과。방법선취아원종2010년5월지2013년5월지간수치선천성거결장환인작연구대상，수궤선취실시복강경보조하거결장근치술환인35례작위실험조，령선취실시전통개복거결장근치술환인31례작위대조조，대비관찰량조환인림상치료효과。결과실험조수술시간급술중출혈량명현저우대조조，술후장연동시간、주원시간급술후병발증현저소우대조조，P＜0.05，차이유통계학의의。결론대선천성거결장환인재복강경보조하실시거결장근치술，상비전통개복술식，수술시간여출혈량현저감소，술후회복명현가쾌，치료시간축단，차병발증교소，구유경위이상적림상효과。
Objective To observe the clinical effect of radical resection of megacolon of congenital megacolon in laparoscopic assisted.Methods Randomly selected 35 cases in our hospital use Laparoscopic assisted radical macrosigmoid operation as experimental group, select another 31 cases implementation of the traditional openoperation for megacolon as control group.Results The amount of bleeding time and operation in the experiment groupwas significantly lower than the control group, postoperative intestinalperistalsis time, hospitalization time and postoperative complications were significantly less than that of the control group,P<0.05, the difference has statistical significance.Conclusion The children with congenital megacolon inlaparoscopic assisted radical mastectomy megacolon, operation time and bleeding volume was significantly reduced, postoperative recovery is accelerated apparently, shorten treatment time, and fewer complications.