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目的总结经肛门I期soave拖出根治术治疗新生儿、小婴儿先天性巨结肠的手术过程、疗效及短期随访。方法自2003年10月~2005年10月采用该术式治疗新生儿、小婴儿先天性巨结肠18例,其中常见型12例、短段型6例。均经钡灌肠、病理切片确诊。结果全部患儿均经肛门完成手术,手术时间130~250 m in,术中出血20~60 m l,4例输血。切除肠管15~35 cm,平均术后住院时间8.3 d,均痊愈出院。术后扩肛3个月至半年,随访3个月至2年,患儿排便1~3次/d,生长发育正常。钡灌肠复查未见结肠扩张。结论经肛门soave I期拖出根治术治疗新生儿、小婴儿先天性巨结肠,手术创伤小,操作简单,近期疗效良好。
Objective To summarize the surgical procedure, curative effect and short-term follow-up of the treatment of neonatal and small-child Hirschsprung disease by radical anastomosis of I stage. Methods From October 2003 to October 2005, 18 cases of Hirschsprung’s disease were treated with this technique in 12 cases of neonates and infants, including 12 cases of common type and 6 cases of short segment type. After barium enema, biopsy confirmed. Results All children underwent anal surgery. The operation time ranged from 130 to 250 mins. The intraoperative hemorrhage was 20 to 60 m l and the transfusion was performed in 4 cases. Excision of intestine 15 ~ 35 cm, the average postoperative hospital stay 8.3 d, were cured and discharged. Postoperative anal 3 months to six months, followed up for 3 months to 2 years, children defecation 1 to 3 times / d, normal growth and development. Barium enema no colon dilatation review. Conclusion Anus soave I dragged out radical treatment of neonatal and infant Hirschsprung’s disease, surgical trauma, simple operation, the recent good effect.