【摘要】 目的 :报告经肛门非开腹先天性巨结肠根治术临床体会。方法 :经该术式治疗先天性巨结肠 10例。术前行直肠粘膜吸引检查以确诊和X线钡灌肠摄片确定病变范围 ,短段型 3例 ,常见型 7例。齿线上 1cm切开直肠粘膜1周 ,游离直肠粘膜管 ,直视下游离扩张的直肠近端和乙状结肠 ,妥善处理肠系膜血管 ,向上游离达正常结肠 ,拖出的结肠与直肠切缘全层间隙吻合。结果 :全部患儿经肛门完成手术 ,切除肠管平均长度 2 3.6cm(12～ 32cm) ,平均手术时间 112min(90～ 15 0min) ,术中平均出血量 32ml(15～ 80ml)。 1个月内大便成形正常 ,无手术并发症出现。结论 :经肛门非开腹巨结肠根治术适合于新生儿和婴幼儿短段型及常见型巨结肠 ,手术创伤小 ,并发症少 ,效果满意。更多还原

【Abstract】 Objective: The experience of operation on Hirschsprung′disease whthout laparotomy is reported.Methods: Ten Patients with Hirschsprung′s disease(3 short segment type and 7 common type)underwent transanal rectotomy.The contrast enema and suction rectal biopsy were performed after the admission.Results:All patients recovered with mormal defecation,and no complication was observed during 1～3 months follow up period.Conclusions:Transnanal pull through without laparotomy is a new apporach for Hirschsprung′s disease.This operation is suitable for Hirschsprung′s disease with short and common segment type.It offers minimal invasion and reduces post operative complications.更多还原