Liu Yuan,Li Shuai,Shi Wenjia,et al.Investigation of frequency of stools in children with Hirschsprung’s Disease post laparoscopic one-stage soave pull-through[J].Journal of Clinical Pediatric Surgery,2020,19(01):26-30.[doi:10.3969/j.issn.1671-6353.2020.01.005]
一期腹腔镜辅助巨结肠Soave拖出术后排便频率研究
- Title:
- Investigation of frequency of stools in children with Hirschsprung’s Disease post laparoscopic one-stage soave pull-through
- 关键词:
- Hirschsprung病; 腹腔镜检查; 排便异常; 治疗结果
- Keywords:
- Hirschsprung Disease; Laparoscopy; Dysporia; Treatment Outcome
- 分类号:
- R726;R574;R574.62
- 摘要:
- 目的 对行一期腹腔镜辅助巨结肠Soave拖出术的先天性巨结肠症患儿术后排便频率进行统计分析，以明确术后排便频率变化的规律。方法 通过对2015年1月至2017年1月于华中科技大学同济医学院附属协和医院行一期腹腔镜辅助Soave拖出术的49例常见型先天性巨结肠症患儿进行随访，动态收集其术后排便频率的数值及相应临床资料并进行统计，分析其术后排便频率的变化规律。结果 49例中男37例，女12例；手术年龄3个月至5岁（中位值9个月）。患儿术后近期排便频率为3~25次/天，随后呈现出逐渐下降的趋势，术后（68.7±47.5）d排便频率可降至1~3次/天；但此后排便频率并不稳定，常有波动，术后（14.7±9.6）个月排便频率完全恢复正常。结论 基于本研究结果，我们认为先天性巨结肠症患儿术后排便频率的变化可大致分为3个时期：下降期（排便频率由高逐渐下降，最终可降至正常）；波动期（排便频率时高时低，在正常排便频率水平上进行波动，易受外界因素影响）；稳定期（排便频率完全恢复正常并稳定）。
- Abstract:
- Objective To determine the regularity of postoperative defecation frequency by statistical analysis of postoperative defecation frequency in children with Hirschsprung’s disease (HD) undergoing laparoscopic assisted soave pull-through.Methods Forty-nine HD patients undergoing laparoscopic-assisted Soave pull-through from January 2015 to January 2017 were followed up.And the postoperative frequency of defecation and the relevant clinical data were dynamically collected for analyzing the changing regularity.Results There were 37 boys and 12 girls with a median operative age of 9(3-60) months.The postoperative daily frequency of defecation was 3-25 times and its average declined to 1~3 times after (68.7±47.5) days.However,it turned unstable and fluctuated frequently.After a period of (14.7±9.6) months,the frequency of defecation became completely normal and stable.Conclusion The postoperative change of defecation frequency in children may be divided into decline period (the frequency of defecation decreases gradually and finally normalizes); fluctuation period (the frequency of defecation fluctuated around normal level and is easily influenced by external factors); stabilization period (the frequency of defecation is fully restored and stabilized).
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备注/Memo
收稿日期:2019-08-28。
基金项目:国家自然科学基金（编号：81700497）；湖北省自然科学基金（编号：2017CFB399）
通讯作者:汤绍涛,Email:tshaotao83@126.com