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首页> 外文期刊>Patient Preference and Adherence >A 5-year follow-up study of neonates with Hirschsprung's disease undergoing transanal Soave or Swenson surgery
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A 5-year follow-up study of neonates with Hirschsprung's disease undergoing transanal Soave or Swenson surgery

机译：接受肛门肛门Soave或Swenson手术的先天性巨结肠疾病新生儿的5年随访研究

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Objective: To investigate different outcomes and long-term efficacy of transanal Soave or Swenson surgery in treatment for neonates with Hirschsprung’s disease (HD). Methods: In the present study, a total of 29 neonatal patients were included, with 20 patients undergoing the Soave procedure and nine patients undergoing the Swenson procedure. Data collected from the patients included basic demographics, age and weight at the time of operation, pathological typing, type of operation, operative time, blood loss, length of hospital stay, bowel function, and complications. The follow-up lasted for 5 years for all patients via the outpatient clinics or by telephone. Results were statistically analyzed using SPSS version 18.0. Results: The age, weight, and pathological type of patients with different surgical approaches showed no significant difference. The operation time and blood loss of patients who underwent Swenson procedure were significantly lower than those who underwent Soave procedure; P 0.05. Bowel function (Rintala score) and postoperative complications in the two groups also showed no significant difference when evaluated 3 months after the surgery; P >0.05. Patients were followed-up for a 5-year period at 3 months, 6 months, 2 years, and 5 years after surgery, respectively. Results showed that complications and bowel function recovery during the 5-year follow-up showed no significant difference between the two methods. Conclusion: The operation time and blood loss of the transanal Swenson pull-through procedure was lower than transanal Soave method; however the long-term outcomes of the two methods showed no significant difference. These results may give more clinical evidence in this field.
机译：目的：探讨经肛门Soave或Swenson手术治疗先天性巨结肠疾病（HD）新生儿的不同结果和长期疗效。方法：本研究共纳入29例新生儿患者，其中20例接受Soave手术，9例接受Swenson手术。从患者那里收集的数据包括基本人口统计学，手术时的年龄和体重，病理分型，手术类型，手术时间，失血量，住院时间，肠功能和并发症。通过门诊诊所或电话对所有患者进行了长达5年的随访。使用SPSS 18.0版对结果进行统计分析。结果：采用不同手术方式的患者的年龄，体重和病理类型无明显差异。接受Swenson手术的患者的手术时间和失血量明显少于接受Soave手术的患者; P 0.05。术后3个月评估两组的肠功能（Rintala评分）和术后并发症也无明显差异。 P＞ 0.05。分别在术后3个月，6个月，2年和5年对患者进行5年的随访。结果显示，在5年的随访期间，并发症和肠功能的恢复在两种方法之间没有显着差异。结论：经肛门Swenson穿刺法的手术时间和失血率均低于经肛门Soave法。但是，两种方法的长期结果均无显着差异。这些结果可能会在该领域提供更多的临床证据。

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