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目的探讨改良Swenson手术治疗先天性巨结肠的有效性、安全性。方法对我院自1995年10月~2004年6月采用改良Swenson术治疗的52例(男50例,女2例,48例为常见型,4例为短段型)先天性巨结肠患儿进行回顾性分析。所有患儿均经病理明确诊断,术后常规肛门指检。随访40例、时间1~6年。对顽固性便秘、营养状况、吻合口狭窄、污裤及失禁等情况进行评价。结果52例患儿顽固性便秘消失,营养改善。近期无吻合口漏,无腹腔及伤口感染,远期随访无便秘复发及直肠回缩,无吻合口狭窄、污裤及失禁。52例中仅2例有小肠结肠炎,占3.8%。结论改良Swenson术适用于常见型、短段型及长段型先天性巨结肠并且疗效满意,具有较高的实用性和安全性。
Objective To investigate the effectiveness and safety of modified Swenson’s surgery in the treatment of Hirschsprung’s disease. Methods In our hospital from October 1995 to June 2004 using modified Swenson surgery in 52 cases (50 males and 2 females, 48 cases were common type, 4 cases of short segment type) children with Hirschsprung’s disease Retrospective analysis. All children were diagnosed by pathology, postoperative anal anus. Follow-up 40 cases, time 1 to 6 years. Evaluation of intractable constipation, nutritional status, anastomotic stricture, pant and incontinence. Results 52 cases of intractable constipation disappeared, nutrition improved. Recent non-consistent leakage, no abdominal and wound infection, long-term follow-up no recurrence of constipation and rectal retraction, no anastomotic stenosis, trousers and incontinence. Only 2 of 52 patients had enterocolitis, accounting for 3.8%. Conclusion The modified Swenson technique is suitable for common type, short segment type and long segment type Hirschsprung disease with satisfactory curative effect and high practicability and safety.