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目的总结经肛门Soave手术治疗先天性巨结肠症的疗效及随访情况。方法回顾分析2002年6月至2006年2月57例经肛门Soave手术治疗的先天性巨结肠症的治疗情况。结果57例巨结肠患儿中44例手术获得成功,无并发症发生;13例出现并发症,其中小肠结肠炎2例,术后腹腔大出血1例,大网膜嵌顿致结肠梗阻1例,直肠肌鞘感染1例,便秘2例,肛周红斑及糜烂7例。49例随访2月～3年,1例轻度污粪,其余患儿肛门无狭窄,每天排便1～3次,生长发育正常。结论经肛门Soave手术治疗小儿先天性巨结肠症手术创伤小,操作简单,术后恢复快,近期疗效好。
Objective To summarize the curative effect and follow-up of Hapoel Homology treatment of Hirschsprung’s disease. Methods The clinical data of 57 cases of Hirschsprung’s disease treated by anal Soave surgery between June 2002 and February 2006 were retrospectively analyzed. Results Of the 57 cases of Hirschsprung’s disease, 44 cases were successful and no complications occurred. Thirteen patients had complications including 2 cases of enterocolitis, 1 case of postoperative intraperitoneal hemorrhage, 1 case of obstruction of omentum, 1 case of rectum muscular sheath infection, 2 cases of constipation, perianal erythema and erosion in 7 cases. 49 cases were followed up for 2 months to 3 years, 1 case of mild stool excretion, the rest of the children without anal stenosis, defecation 1 to 3 times a day, normal growth and development. Conclusion Anorectal Soave operation in children with Hirschsprung’s disease trauma, simple operation, fast recovery, the recent good effect.