【摘要】 目的探讨经肛门后正中切开直肠肌鞘改良Soave巨结肠根治术治疗先天性巨结肠的临床疗效。方法收集2003年1月至2014年2月我们经肛门后正中切开肌鞘行改良Soave术治疗的72例先天性巨结肠患儿临床资料。对手术时间、术中出血量、术后并发症、肛门排便功能进行分析。结果 72例中,除3例并发肠炎(经保守治疗后痊愈)外,其他均效果良好。结论经肛门后正中切开改良Soave术是治疗小儿先天性巨结肠的有效方法。主要用于短段型和常见型。具有创伤小、恢复快、美观、术后并发症少等优点。更多还原

【Abstract】 Objetive To explore the clinical effect of transanal midline incision muscular sheath improvement soave operation through cutting the middle of the posterior wall of the rectum muscle sheath.Methods A retrospective analysis was made on the 72 patients undergone modified transanal soave treatment of Hirschsprung in our hospital from Jan.2003 to Feb.2014.The operative time,blood loss,postoperative complications,bowel function were all analyzed.Results 72 cases except three appeared enteritis and cured by conservative treatment,others have good results.Conclusions The median-cut improvement anal Soave is an effective treatment for Hirschsprungs Diseas with less trauma,quicker recovery,less post operative complications.The operation is mainly for short-segment type and common type.更多还原