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目的总结本院改良Swenson根治术(鸡心型吻合法)治疗先天性巨结肠的经验。方法对2008年11月至2014年8月采用改良Swenson根治术治疗43例先天性巨结肠患儿进行回顾性分析。结果本组43例患儿术后仅2例早期出现小的吻合口瘘,未发现其他早期并发症,术后随访患儿无复发、肠梗阻,吻合口狭窄、大便失禁、污裤及小肠结肠炎等晚期并发症。结论改良Swenson根治术治疗先天性巨结肠安全有效,最佳手术年龄在患儿6个月以上,术前准备充分、术中注意手术细节,才能有效减少手术并发症。
Objective To summarize the experience of using modified Swenson radical mastectomy in the treatment of Hirschsprung’s disease. Methods A retrospective analysis was performed on 43 children with Hirschsprung’s disease treated with modified Swenson radical mastectomy from November 2008 to August 2014. Results In this group of 43 children, only 2 cases showed small anastomotic fistula early and no other early complications were found. No recurrence, intestinal obstruction, anastomotic stenosis, fecal incontinence, Inflammation and other late complications. Conclusion The modified Swenson radical mastectomy is safe and effective in treating Hirschsprung’s disease. The optimal operation time is more than 6 months in children with adequate preoperative preparation, and attention should be paid to the operative details in order to reduce operative complications.