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目的 评价直肠肛管纵切、心形吻合术治疗先天性巨结肠症的手术疗效。方法 对1991年 4月至 2 0 0 0年 4月间应用直肠肛管纵切、心形吻合术治疗先天性巨结肠症 98例的疗效与手术并发症进行分析。结果 98例患者中术后均未发生盆腔、腹腔及伤口感染 ,无吻合口狭窄。 1例出现吻合口漏经修补痊愈。全部病例随访 5个月至 8年 :便秘复发 3例 ,经扩肛 6个月后痊愈 ;偶有污粪 1例 ;小肠结肠炎 6例 ;术后并发症的总发生率为 11 2 %。结论 直肠肛管纵切、心形吻合术治疗先天性巨结肠症 ,可提高手术效果并减少并发症。
Objective To evaluate the surgical treatment of Hirschsprung’s disease with rectal anal canal and heart anastomosis. Methods The clinical data of 98 cases of Hirschsprung’s disease were analyzed retrospectively from April 1991 to April 2000 with the anorectal longitudinal resection and cardiac anastomosis. Results No pelvic, abdominal and wound infection occurred in 98 patients, and no anastomotic stenosis occurred. One case of anastomotic leakage repair by healing. All patients were followed up for 5 months to 8 years: 3 cases of constipation recurrence, 6 months after rectal anal healing; occasional sewage in 1 case; 6 cases of enterocolitis; the overall incidence of postoperative complications was 11 2%. Conclusion Rectal anal canal longitudinal and cardiac anastomosis in the treatment of Hirschsprung’s disease can improve the surgical results and reduce the complications.