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目的:总结单纯经肛门改良SoaveⅠ期拖出根治术治疗婴幼儿短段型及常见型先天性巨结肠症的手术方法及疗效。方法:自2002年经该术式治疗婴幼儿先天性巨结肠症23例。术前均经钡剂灌肠诊断为常见型及短段型巨结肠症。结果:23例切除结肠(17~30)cm,均于术后(3~6)天开始进食,术后1个月随访,每日排便(8~10)次,全组所有病例术后治愈出院时行钡剂灌肠均未见结肠扩张,24小时后复查无钡剂潴留;术后1年随访(19例)每日排便(1~3)次,无便秘及污粪。结论:经肛门改良SoaveⅠ期拖出根治术治疗婴幼儿短段型及常见型先天性巨结肠症,具有操作相对简单、手术创伤小、术中出血少、治愈后无瘢痕愈合,短期及中期随访疗效良好等优点。
OBJECTIVE: To summarize the surgical methods and curative effects of treating simple and severe Hirschsprung’s disease in infants and young children by single-stage anolectomy with Soave I. Methods: Twenty-three cases of Hirschsprung’s disease were treated by this procedure since 2002. Preoperative barium enema were diagnosed as common type and short segment Hirschsprung disease. RESULTS: Twenty-three resected colonies (17-30 cm) started to eat after 3 to 6 days. The patients were followed up one month after operation and were defecated daily for 8 to 10 times. All cases were cured after operation Barium enema was discharged at discharge without colonic expansion, 24 hours after the review without barium retention; 1 year follow-up (19 cases) daily defecation (1 to 3) times without constipation and sewage manure. Conclusions: The treatment of Somali short-segment and common Hirschsprung’s disease by anus-modified Soave-Ⅰ pull-out has the advantages of relatively simple operation, less trauma, less intraoperative bleeding, scar-free healing after cure, short-term and mid-term follow-up Good effect and so on.