论文部分内容阅读
目的探讨治疗小儿先天性巨结肠比较理想的手术方式。方法对36例诊断为先天性巨结肠患儿施行手术治疗,方法是在Grob-赖氏手术操作的基础上进行改进,采取直肠、肛管内结肠拖出,在肛门外行结肠、直肠前后壁的斜弧形吻合。结果36例均痊愈出院,无吻合口瘘及感染并发症。随访4～9a,31例排便正常,4例术后有不同程度肛管狭窄,经扩肛治愈,1例术后2a内常有稀便,2a后逐渐排便正常。结论该改进术式对治疗小儿先天性巨结肠疗效确切,手术创伤小,术后痛苦和并发症少且易于护理。
Objective To explore the ideal surgical treatment of children with Hirschsprung’s disease. Methods Thirty-six children diagnosed as Hirschsprung’s disease underwent surgery. The improvement was based on the Grob-Reis operation. The rectum and the colon of the anal canal were pulled out. Slant curved anastomosis. Results 36 cases were cured and discharged without anastomotic fistula and infection complications. Follow-up 4 ~ 9a, 31 cases of normal bowel movement, 4 cases of postoperative anal stenosis of varying degrees, cured by anal augmentation, 1 case of postoperative 2a often loose stools, 2a gradually defecation normal. Conclusion The improved surgical treatment of Hirschsprung’s disease in children with exact effect, small trauma, postoperative pain and complications less and easy to care.