婴幼儿先天性巨结肠经肛门切除根治术

Transanal Radical Excision for Infant Hirschsprung's Disease

目的：总结经肛门Ⅰ期拖出根治术治疗小婴儿先天性巨结肠的手术过程、疗效及短期随访。方法：自2004年经该术式治疗小婴儿先天性巨结肠6例，均经钡剂灌肠和肛门直肠黏膜活检诊断为普通型巨结肠。结果：6例切除结肠18～39cm，均于术后2～4d开始进食；术后1个月随访，每日排便5～8次，6个月随访，每日排便1～3次，无污粪。结论：经肛门拖出根治术治疗小婴儿常见型先天性巨结肠，手术创伤小、操作简单、近期疗效良好。

Objective：To summarize the procedures, efficacy and short-term follow-up of transanal one-stage pull-through radical excision for infants with Hirschsprung＇ s disease. Methods： 6 infants confirmed as Hirschsprung＇s disease by barium enema and biopsy in anorectal mucous memebrance were treated with this operation from 2004. Results： In 6 cases, the length of excisional colon was between 18 cm and 39 cm, and eating began at 2 days to 4 days afteroperation. Infants defecated 5 times to 8 times daily at 1 month after operation, and 1 time to 3 times daily. There was no dirty stercus. Conclusion： Transanal pull - through radical excision is minitraumatic, simple and short - term effective in treatment of infant common Hirschsprung＇ S disease.