【摘要】 目的总结我院2001～2004年对50例先天性巨结肠患儿实施经肛门一期Soave拖出术的治疗经验。方法本组50例,其中短段型11例,常见型32例,长段型7例。均行经肛门一期Soave拖出术。结果无手术死亡。平均手术时间102min,并发症共10例,无并发症40例,占80%,其中2例便秘症状再发,保守治疗无效而再次手术,术后恢复良好。结论经肛门Soave术式操作简便,创伤小,术中出血少,术后排便功能好,手术并发症少,目前已成为小儿外科医师普遍选用的手术方式。更多还原

【Abstract】 Objective The purpose of this study is to report the experience of pull-through in treating Hirchsprung’s disease. Methods Total of 50 patients who had Hirch sprung’s disease with a mean age of 1.5 years from 27 days to 6 years were admitted from 2001~2004 in our hospital. The pathology included 11 short segments, 32 comontype, 7 long segment.Results The everage operation time was 92 minutes. No patient died.Ten patients developed complications(20%).All Patients got well with two Patients treated by re-operation.Conclusion The pull-through for freating Hischsprung’s disease is easy to perform .The ana Stomosis does not require laparotomy.Post-operative fecal control is good and complications are low.更多还原