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目的探讨腹腔镜辅助改良Swenson术式在常见型小儿先天性巨结肠中治疗效果及价值。方法选取接受腹腔镜辅助改良Swenson术式或腹腔镜辅助Soave术式的103例常见型先天性巨结肠患儿根据手术方式分为Swenson组63例、Soave组40例。比较两组手术指标、术后短期恢复情况、并发症发生情况。随访1年以上观察患儿生活质量评分、肛门功能评分、远期并发症发生率。结果两组在术后留置尿管时间、术后进食时间差异无统计学意义P0.05Swenson组术中出血量低于Soave组手术时间短于Soave组术后排便频率低于Soave组术后肠蠕动恢复时间、术后住院时间短于Soave组差异有统计学意义P0.05。两组术后短期内吻合口瘘、盆腔感染、尿潴留发生率差异无统计学意义P0.05而Swenson组术后便秘、小肠结肠炎、粪污、吻合口狭窄、肛周皮炎发生率低于Soave组差异有统计学意义P0.05。随访1年以上两组术后便秘、小肠结肠炎、粪污、吻合口狭窄、肛周皮炎发生率差异无统计学意义P0.05。随访1年以上两组生活质量及肛门功能优良率均较高组内差异无统计学意义P0.05。结论在常见型小儿先天性巨结肠治疗中腹腔镜辅助改良Swenson术式与Soave术式相比在术中出血方面及术后恢复、短期内术后并发症发生率等方面更具优势

腹腔镜辅助改良Swenson术式治疗小儿先天性巨结肠效果