河北医学2016，Vol.22Issue(7)：1084-1087,4.DOI:10.3969/j.issn.1006-6233.2016.07.011
腹腔镜下肛门直肠成形术治疗小儿高位直肠肛门畸形的疗效评价
Laparoscopic Anorectal Plasty for Children with High Anorectal Malformation
摘要
Abstract
Objective: To explore the clinical efficacy on treatment for children with high anorectal mal-formation using the laparoscopic anorectal plasty. Methods: 44 cases of children with high anorectal malforma-tion hospitalized were selected as objects from July 2013 to Aprile 2015, and divided randomly into two groups (control group and observation group, with 22 cases in each group) in the case of the infromed consent of the children’s guardian. Patients in the observation group were treated with laparoscopic anorectal plasty and the children in the control group using sagittal anoplasty treatment. The index such as the body’ s anal function score, anorectal manometry results and the amount of bleeding, hospital stay of the two groups were compared. Results:On the anal function score, there was no significant difference between the observation group and the control group (P>0.05); the anorectal manometry results showed that the the maximum anal resting pressure and resting asymmetric index of the two groups existed significant differences (P<0.05); the bleeding volume in surgery and length of hospital stay of the children in the observation group was significantly lower than those in control group, there were significant differences (P<0.05). Conclusion: Laparoscopic anorectal trauma an-gioplasty has a high efficacy to treat hign anorectal malformation in children. Compared to posterior sagittal an-oplasty, laparoscopic anorectal trauma angioplasty has less trauma and better curative effect. It is worthy of clinical promotion and application.关键词
高位直肠肛门畸形/腹腔镜下肛门直肠成形术/后矢状入路肛门成形术Key words
High anorectal malformation/Laparoscopic anorectal angioplasty/Posterior sagittal anoplasty引用本文复制引用
刘涛,武靖华,叶红英..腹腔镜下肛门直肠成形术治疗小儿高位直肠肛门畸形的疗效评价[J].河北医学,2016,22(7):1084-1087,4.基金项目
山东省自然科学基金,(编号:ZR2013HL028) （编号:ZR2013HL028）
