[1]李旭 管考平 刘树立 乔国梁 董宁 李颀 李龙＊.Hem-o-lok在腹腔镜肛门成形术中的应用[J].中国微创外科杂志,2014,14(12):1116-1118.
　Li Xu,Guan Kaoping,Liu Shuli,et al.Application of Hem-o-lok in Laparoscopic Assisted Anorectal Pullthrough[J].Chinese Journal of Minimally Invasive Surgery,2014,14(12):1116-1118.
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Hem-o-lok在腹腔镜肛门成形术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年12期
页码:
1116-1118
栏目:
临床研究
出版日期:
2014-12-20

文章信息/Info

Title:
Application of Hem-o-lok in Laparoscopic Assisted Anorectal Pullthrough
作者:
李旭 管考平 刘树立 乔国梁 董宁 李颀 李龙＊
首都儿科研究所附属儿童医院外科，北京100020
Author(s):
Li Xu;  Guan Kaoping;  Liu Shuli;  et al.
Department of Surgery, Affiliated Childen’s Hospital of Capital Institute of Pediatrics, Beijing 100020, China
关键词:
儿童; 先天性肛门直肠畸形; Hemolok; 腹腔镜
Keywords:
Children; Anorectal malformation; Hemolok; Laparoscopy
分类号:
R726.2
文献标志码:
A
摘要:
目的探讨Hemolok在腹腔镜肛门成形术处理直肠尿道瘘中的价值。 方法2012年1月~2013年12月采用腹腔镜治疗15例中高位肛门闭锁，在距球部、膜部或膀胱颈部尿道0.5 cm处应用Hemolok夹闭瘘管处理直肠尿道瘘。 结果均在腹腔镜辅助下完成肛门成形+尿道瘘修补术，腹腔镜手术（包括会阴手术）操作时间90～150 min (平均120 min)。出血量10～20 ml（平均15 ml），无需要输血者，无术中并发症发生。术后7 d拔除尿管，无排尿困难。15例随访2～12个月(平均5个月)，术后排尿功能基本正常，无尿道瘘复发，无尿道狭窄发生，肛门外观正常，2例患儿轻度直肠黏膜脱垂。 结论腹腔镜辅助下Hemolok夹闭处理直肠尿道瘘，更加精准、方便，降低手术难度，可取得满意的治疗效果。
Abstract:
ObjectiveTo evaluate the application of the Hemolok for the treatment of rectal urethral fistula in laparoscopic assisted anorectal pullthrough.MethodsFifteen patients with high imperforate anus were retrospectively reviewed in our hospital from January 2012 to December 2013. The rectal urethra fistula was shut by the Hemolok at the 0.5 cm from the end of the fistula. ResultsAll the patients were successfully treated by laparoscopic assisted anorectal pullthrough with fistula repair. The operative time ranged 90-150 min (median, 120 min). The mean blood loss was 15 ml (range, 10-20 ml) during the operation and no blood transfusion was required. All the patients had no intraoperative complications. The mean followup time was 5 months (range, 2-12 months). There was no patient suffered from recurrent fistula. The appearance of the neoanus was normal. Two patients suffered from slight mucosa prolapse. ConclusionThe application of the Hemolok for the treatment of rectal urethral fistula in laparoscopic assisted anorectal pullthrough is accurate, convenient, and time saving, achieving satisfactory results.

参考文献/References:

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备注/Memo

备注/Memo:
＊通讯作者，Email：lilong23@126.com
更新日期/Last Update: 2014-12-20