腹腔镜与开腹手术治疗新生儿长段型巨结肠的对比研究
- 摘要:
- 目的 探讨腹腔镜与开腹手术治疗新生儿长段型巨结肠的近期疗效。 方法 2007年1月至2009年1月作者收治新生儿长段型巨结肠17例，均表现为顽固性便秘，钡灌肠24 h拍片均见大量钡剂残留。8例采取腹腔镜手术，其中7例直肠肛管测压无松弛反射，直肠黏膜乙酰胆碱酯酶染色均为阳性；9例采取开腹手术，7例无松弛反射，直肠黏膜乙酰胆碱酯酶染色均为阳性。 结果 17例中，5例行左半结肠切除术，12例行右半结肠切除术。均治愈，并发切口裂开1例，吻合口瘘1例，为开腹手术患儿。随访左半结肠切除患儿术后大便形状正常；结肠次全切除患儿术后1个月左右出现腹泻，后逐渐好转；随访期间3例发生小肠结肠炎，经抗炎、洗肠等治疗后痊愈，其中1例为腹腔镜手术，2例为开腹手术。 结论 腹腔镜巨结肠根治术治疗新生儿长段型巨结肠可取得满意的近期疗效。
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备注/Memo
华中科技大学同济医学院附属同济医院小儿外科（武汉市，430030），通讯作者：冯杰雄，E-Mail：fengjiexiong@126.com