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为研究应用纤维结肠镜检查指导先天性巨结肠结肠灌洗的临床价值，将７０例先天性巨结肠手术病例分为对照组３５例，按常规灌洗；观察组３５例，应用纤维结肠镜检指导灌洗。两组病例手术方式均为Ｓｗｅｎｓｏｎ手术。结果：常规灌洗和纤维结肠镜指导下的灌洗效果、两组术后并发症发生率比较，经统计学处理，均有非常显著性差异（Ｐ＜００１）；两组术后住院天数比较，观察组比对照组平均缩短２１ｄ。提示：纤维结肠镜检查指导结肠灌洗可减少肛管插入长度的随机性及清洁肠腔与炎症治疗的盲目性，提高灌洗质量；利于确定最佳手术时机，从而减少术后并发症，缩短住院天数。
To study the clinical value of using colonoscopy to guide the colonic lavage of Hirschsprung’s disease, 70 cases of Hirschsprung’s disease were divided into control group (n = 35) and routine lavage. The observation group (n = 35) Guided irrigation. Two groups of surgical procedures are Swen -son surgery. Results: The lavage effect under the guidance of conventional lavage and colonoscopy showed that there was a significant difference (P <001) between the two groups in the incidence of postoperative complications. The postoperative hospitalization Compared with the control group, the observation group shortened an average of 2.1 days. Tip: colonoscopy colonoscopy can reduce the randomness of the length of the anal insertion and clean the intestine and the blindness of the treatment of inflammation, improve the quality of lavage; help determine the best timing of surgery to reduce postoperative complications and shorten The number of days in hospital.