目的　介绍一种治疗儿童先天性巨结肠 (HD)的新术式———经肛门一期Soave巨结肠根治术。方法　应用经肛门一期Soave根治术治疗HD患儿 2 0例并短期随访。结果　经肛门一期Soave根治术费时 ,但从术后禁食时间、静脉滴注抗生素时间、发热天数、术后住院天数、术后排便情况及短期并发症等恢复指标上有显著优越性。结论　经肛门一期Soave根治手术创伤小 ,术后患儿恢复快 ,并发症少 ,腹部无瘢痕 ,对于短段型和常见型婴儿HD ,该术式安全可靠 ,值得推荐 Objective To introduce a new surgical procedure for the treatment of children with Hirschsprung ’s disease (HD) - an anastomosis of Soave megacolon. Methods A total of 20 children with HD were treated with first-stage Soave radical anal surgery and were followed up for a short time. The results of the anal Soave radical operation time-consuming, but from the postoperative fasting time, intravenous antibiotic time, days of fever, postoperative hospital stay, postoperative bowel conditions and short-term complications recovery indicators have significant advantages. Conclusions The postoperative anastomosis with Soave radical operation has the advantages of less trauma, faster recovery after operation, fewer complications and no scar on the abdomen. It is safe and reliable for short segment and common infants HD