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１９８５～１９９６年我院为９１例先天性巨结肠患儿施行根治手术，其中ｓｏａｖｅ法４０例，Ｄｕｈａｍｅｌ－Ｇｒｏｂ法１４例，Ｉｋｅｄａ法３１例和Ｒｅｈｂｅｉｎ法６例。为了准确评价肠结肠炎的严重程度，我们将先天性巨结肠症根治术后肠结肠炎分为三度。术后早期１１例（１２％）发生肠结肠炎，其中ｓｏａｖｅ法９例（２２．５％），Ｄｕｈａｍｅｌ－Ｇｒｏｂ法２例（１４．２％）。肠结肠炎分度：Ⅰ度８例，Ⅱ度２例，Ⅲ度１例。９例非手术治疗，１例在术后１４ｄ扩肛，另１例男孩在８个月时作再次ｓｏａｖｅ治根治术。６３例获得随访，３例（４．７％）发生肠结肠炎，其中ｓｏａｖｅ法１例（４．１％），前面提到的男孩。Ｉｋｅｄａ法１例（４．１％），Ⅲ度，１个月后扩肛。Ｒｅｈｂｅｉｎ法１例（１６．６％），Ⅲ度，１个月后行外括约肌切断术。随访时排便功能优９例，良２例，差１例，失去随访１例。我们的结果显示肠结肠炎是先天性巨结肠症根治术后常见的并发症，分度有助于评价病情和指导治疗。
From 1985 to 1996, 91 cases of Hirschsprung’s disease underwent radical surgery in our hospital. Among them, 40 were soave, 14 were Duhamel-Grob, 31 were Ikeda, and 6 were Rehbein. In order to accurately evaluate the severity of enterocolitis, we divided the enterocolitis in patients with Hirschsprung’s disease into three degrees. Enterocolitis occurred in 11 cases (12%) in the early postoperative period, including 9 cases (22.5%) by soave method and 2 cases (14.2%) by Duhamel-Grob method. Enterocolitis index: Ⅰ degree in 8 cases, Ⅱ degree in 2 cases, Ⅲ degree in 1 case. 9 cases of non-surgical treatment, 1 case of anal 14d after operation, the other boy at 8 months for soave radical surgery again. Sixty-three patients were followed up and three (4.7%) developed enterocolitis, including one in soave (4.1%), the previously mentioned boy. Ikeda method in 1 case (4.1%), Ⅲ degree, 1 month after anal expansion. Rehbein method in 1 case (16.6%), Ⅲ degree, 1 month after external sphincterotomy. Follow-up defecation was excellent in 9 cases, good in 2 cases, poor in 1 case, missed follow-up in 1 case. Our results show that enterocolitis is a common complication after radical surgery for Hirschsprung’s disease and that indexing helps to assess the condition and guide treatment.