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目的探讨腹腔镜辅助三期肛门成形术治疗中高位先天性肛门闭锁的临床价值。方法 20例中高位先天性肛门闭锁患儿作为研究对象,根据治疗方式的不同分为观察组和对照组,各10例。观察组通过腹腔镜辅助三期肛门成形术进行治疗,对照组通过三期后矢状入路肛门成形术进行治疗,对比两组患儿的临床疗效。结果观察组患儿出血量明显少于对照组,差异具有统计学意义(P<0.05)。观察组患儿住院时间明显短于对照组,差异具有统计学意义(P<0.05)。观察组患儿肛门功能优良率为100.00%,明显高于对照组的60.00%,差异具有统计学意义(P<0.05)。结论腹腔镜辅助三期肛门成形术治疗中高位先天性肛门闭锁具有较好的临床疗效,安全性和可行性较高,值得在临床推广应用。
Objective To investigate the clinical value of laparoscopic assisted third-stage anal angioplasty for the treatment of congenital anastomosis in middle and high places. Methods Twenty patients with congenital anal atresia were divided into observation group and control group with 10 cases in each group according to the different treatment methods. The observation group was treated with laparoscopic assisted third-stage anal angioplasty and the control group with three-stage sagittal approach angioplasty, comparing the clinical efficacy of the two groups of children. Results The bleeding volume in observation group was significantly less than that in control group, the difference was statistically significant (P <0.05). The hospitalization time of the observation group was significantly shorter than that of the control group, the difference was statistically significant (P <0.05). The excellent and good rate of anal function in the observation group was 100.00%, which was significantly higher than that in the control group (60.00%), the difference was statistically significant (P <0.05). Conclusion Laparoscopy-assisted third-stage anal angioplasty in the treatment of congenital anastomotic atresia has a good clinical efficacy, safety and feasibility, it is worth in the clinical application.