经肛门改良Soave术根治婴幼儿巨结肠术后排便功能及生活质量随访

Follow-Up Study of Bowel-Control and Quality of Life after Modified Soave Procedure for Hirschsprung′s Disease in Infants

目的评价经肛门改良Soave术根治婴幼儿巨结肠术后排便控制功能及生活质量。方法对25例巨结肠婴幼儿行经肛门改良SoaveⅠ期根治。术后随访5个月～6年，平均4．5年，对大便控制能力、便秘、结肠炎发生率及生活质量进行评估。结果获访21例，大便控制评分4分（正常）16例，3分（好）4例，2分（欠佳）1例；便秘1例，结肠炎2例，生活质量优良率90．5％。结论经肛门改良Soave术根治婴幼儿巨结肠可获得良好的排便控制功能和生活质量。

Objective To appraise the bowel control and quality of life after transanal improvement of Soave one - stage pull - through operation for Hirschsprung＇s disease （HD） in infants. Methods Twenty - five patients （aged from 2 months to 3 years old） with HD underwent improved endorectal pull - through procedure and postoperative follow - up for 5 months to 6 years （average 4.5 years） including the occurrence of operation related complications sush as bowel control, constipation or postoperative enterocolitis and quality of life. Results Twenty - one patients completed the study were with a mean follow - up. The assessment of anal continence was graded as norrnal （4 scores）, good （3 scores）, and fair （2 scores） according to the previous study of other investigators. Of the 21 patients, 16 were graded as normal, whereas 4 were as good and 1 fair. One patient developed constipation and 2 patients had postoperative enterocolitis. Conclusion Modified Soave procedure for Hirschsprang＇s disease can get a good bowel control outcome and quality of life.