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目的 为了提高治疗先天性巨结肠的疗效。方法 采用特制环形夹具进行结肠直肠吻合,并将吻合口移至齿状线上方2.5～3 cm。结果 应用该方法治疗先天性巨结肠14例,术后恢复良好,无明显不良并发症。结论 改良Duhamel根治术基本消除了原术式造成的“闸门”和“盲袋”等并发症,临床应用效果满意,安全实用。
Objective To improve the therapeutic effect of Hirschsprung’s disease. Methods A special ring clamp was used for colorectal anastomosis, and the anastomosis was moved to 2.5 ~ 3 cm above the dentate line. Results The application of this method in the treatment of Hirschsprung 14 cases, postoperative recovery was good, no significant adverse complications. Conclusion The modified Duhamel radical mastectomy has basically eliminated the complications such as “gate” and “blind bag” caused by the original operation, and has satisfactory clinical effect and is safe and practical.