改良Soave术Ⅰ期治疗新生儿全结肠型先天性巨结肠

Investigation of One Stage Modified Soave Radical Operation of Total Colonic Aganglionosis in Newborn

目的:探讨改良Soave术Ⅰ期治疗新生儿全结肠型先天性巨结肠的疗效及可行性。方法:自2002年4月至2006年10月对我科收治的3例新生儿全结肠型先天性巨结肠进行改良Soave术Ⅰ期根治。结果:3例患儿均手术顺利,无1例死亡,术后大便每天约10～20次,以后大便次数逐步减少,6个月至1年每天后大便约1～3次,大便成形,排便功能正常。结论:改良Soave术Ⅰ期治疗新生儿全结肠型先天性巨结肠与传统Martin术相似,由于目前临床病例数不多,还需进一步观察。

Objective：To explore the clinical feasibility and effect of One Stage modified Soave radical operation of colonic aganglionosis in newborn. Method： 3 newborn （ hospitalized during 2002 to 2006 ） with total colonic aganglionosis underwent one Stage modified Soave radical operation. Result： Operations of 3 individuals are all successful. The defecation frequency postoperative is 10 to 20 times everyday. And the number is decreased gradually. There are 1 to 3 times of defecation after 6 to 12 months. The stool is forming and the ability of bowl control is good. Conclusion： One stage modified Soave operation is similar with Martin traditional operation in the treatment of total colonic aganglionosis in newborn. But it needs to further observation for more examples.