儿童盆腔小肠贮液器形成后的并发症和功能结果。 单个中心的经验

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论证。在溃疡性结肠炎和腺瘤性息肉病综合征成人患者的治疗中，结肠肛门切除术伴有盆腔小肠贮液器的形成占据主导地位，并取得令人满意的功能效果。国外文献也介绍这种技术在儿科临床中的应用。然而，国内文献中并未提及儿童盆腔小肠贮液器的形成。

该研究的目的是对我们自己在儿科患者小肠贮液器形成方面取得的成果进行分析。

材料与方法。本回顾性研究共纳入了33名患者。这些患者在2019年1月至2023年6月期间接受了盆腔小肠贮液器成形术。小肠贮液器形成时患者的中位年龄为13（±5）岁。患者的中位随访时间为17±14个月。

结果。与其他诊断的患者相比，溃疡性结肠炎患者更有可能接受三阶段手术干预（4%对90%， p < 0.0001）。因此，与息肉病综合征或先天性巨结肠症患者相比，对于溃疡性结肠炎患者来说， 盆腔小肠贮液器形成的平均时间更低（280（±73）分钟对173（±57）分钟）。在33名小肠贮液器患者中，有5名（15%）患者出现了晚期并发症。对患者问卷的分析表明了，本研究中的患儿术后功能效果令人满意。

结论。我们有大量令人鼓舞的研究。这些研究证实，盆腔小肠贮液器成形术后的功能效果良好（包括儿童在内）。我们的研究表明了，在我们的诊所中，为儿童形成小肠贮液器的效果令人满意。

作者简介

Linara R. Khabibullina

Russian Children’s Clinical Hospital

编辑信件的主要联系方式.
Email: habibull.lin@yandex.ru
ORCID iD: 0000-0002-1515-0699
SPIN 代码: 7241-8029

Pediatric Surgeon of the Surgeon Department

俄罗斯联邦, Moscow

Alexander Yu. Razumovsky

Pirogov Russian National Research Medical University

Email: 1595105@mail.ru
ORCID iD: 0000-0002-9497-4070
SPIN 代码: 3600-4701

MD, Dr. Sci. (Med.), Professor, Correspondent Member of Russian Academy of Sciences, Head of Pediatric Surgery Department, Pediatric Surgeon

俄罗斯联邦, Moscow

Olga V. Shсherbakova

Russian Children’s Clinical Hospital

Email: Shcherbakova_o_v@rdkb.ru
ORCID iD: 0000-0002-8514-3080
SPIN 代码: 3478-8606

MD, Dr. Sci. (Med.), Head of Department of Pediactric Surgery, Pediatric Surgeon

俄罗斯联邦, Moscow

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2. Figure. Schematic view of J-pouch: 1 — J-pouch; 2 — ileal pouch–anal anastomosis; 3 — anal sphincter; 4 — linea dentate; and 5 — anal canal

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