婴幼儿经肛管结肠拖下术

The Operation of Colon Pull Out by Anal Canal in Infants and Very Young Children

目的介绍一种经肛管肌鞘内结肠拖下术。 方法 回顾性分析26例经肛管拖下术病例,在肛门上及直肠下段粘膜下分离,直肠壁有病变无法粘膜下游离者,亦应紧贴肠壁外解剖减少损伤的可能。拖下手术同时可行内括约肌重建。 结果所有病例无术中、术后严重并发症。近期随访效果良好。新生儿巨结肠手术可在60分钟左右完成。 结论该术式损伤小、近期效果好,适用于婴幼儿先天性巨结肠及某些肛门直肠畸形患儿。

Objective To introduce an operation method of colon pull out via anal canal intramyosheath. Methods 26 cases of colon pull out via anal canal operation were analyzed respectively.Submucosa of superanus to vectum low segment were freed from muscularis. If the patient rectum wall existed pathological lesion, the resection should be carried out in close to extraintestine wall part, in order to reduce the surgical injure. The homochronus operation for colon pull out and intrashincter reconstruction was performed. Results No severe complication was no occurred in all patients after the operation, the followed up showed that the efficacy was good in the near future.Conclusions The operation less injury, so it suitable to treat the congenital megacolon and some anorectal deformity in neonates.