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目的分析针对先天性巨结肠(HD)患儿实施改良Soave术的效果。方法 2008年4月～2010年4月经灌肠检查等方法诊断出18例HD患儿,治疗方案均为实施改良Soave术,记录肠管切除长度、手术用时及出血量,统计出现并发症比例。结果无死亡患儿,肠管切除长度、手术用时及出血量的统计均值分别为32.7cm、2.6h、22ml;术后所有患儿均未出现梗阻、排便异常等症状,出现并发症的比例为22.2%(4/18),5.6%(1/18)切口感染,16.7%(3/18)肠炎。结论针对HD患儿实施改良Soave术能降低手术治疗风险,减少出现并发症的几率,加快恢复。
Objective To analyze the effect of modified Soave on children with Hirschsprung’s disease (Hirschsprung’s disease). Methods 18 cases of HD children were diagnosed by enema examination from April 2008 to April 2010. All the patients were treated with modified Soave technique. The length of intestinal resection, the time of operation and the amount of bleeding were recorded. The proportion of complications was statistically analyzed. Results The children without death, the total length of the intestine resection, the time of operation and the mean amount of bleeding were 32.7cm, 2.6h, 22ml respectively. No postoperative obstruction, defecation and other symptoms were found in all children. The incidence of complications was 22.2 % (4/18), 5.6% (1/18) incision infection, and 16.7% (3/18) enteritis. Conclusions The implementation of modified Soave technique in children with HD can reduce the risk of surgical treatment, reduce the chances of complications and speed up the recovery.