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强力扩肛治疗短段型先天性巨结肠50例疗效分析 被引量:1

TREATMENT OF SHORT SEGMENT CONGENITAL MEGACOLON BY DILATING ANUS (A REPORT OF 50 CASES)
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摘要 回顾分析强力扩肛治疗短段型先天性巨结肠50例,男41例,女9例,年龄6个月~12岁(3.99±3.25)。根据年龄大小,采用φ20~24mm扩肛器,扩6个月~1年。结果治愈36例(72%),好转8例(16%),无效6例(12%)。随访30例(包括5例好转者),随访时间1~7年,20例能正常排便,7例偶尔需灌肠或服药排便,3例便秘复发。临床证明,对短段型先天性巨结肠采用强力扩肛治疗是行之有效的方法之一,应首选,若无效再改手术治疗。 We analysed the treatment on 50 cases with short segment congenital megacolon by dilating anus.There was male in 41 cases and female in 9,aged from 6 months to 12 years (3.99±3.25).According to their age,we used φ20~24mm dilator for 6 months to 1 year.The result was that 36 patients were cured (72%),8 cases improved (16%) and 6 cases were not effective (12%) .30 patients were followed up for 1 to 7 years.20 cases were normal defecation. 7 were treated by occasional enema or taken with medicine. 3 cases were recurrence of constipation.It suggested that dilating anus was an effective method for short segment congenital megacolon.We first used dilator and then did surgery if not effective. 
出处 《河北医学》 CAS 1998年第2期4-5,共2页 Hebei Medicine
关键词 短段型 先天性巨结肠 强力扩肛 结肠 short segment congenital megacolon dilating anus.
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参考文献4

  • 1郭思齐 赵凤岐.先天性短段巨结肠症[J].中华小儿外科杂志,1981,2:79-79.
  • 2武汉医学院第二附属医院外科.中西医结合治疗婴儿先天性巨结肠症[J].武汉新医药小儿外科专号,1976,41:45-45.
  • 3武汉医学院第二附属医院巨结肠治疗小组.中西医结合治疗先天性巨结肠症疗效的研讨[J].武汉新医药小儿外科专号,1979,2:11-11.
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同被引文献4

  • 1Curran TJ,Raffensperger JG.The feasibility of laparoscopic swen-son pullthrough[J]. J Pediatr Surg.1994,29(9):1273-1275.
  • 2Georgeson KE,Cohen RD,HebrarA,et al.Primary laparoscopic-assisted endorectal colon pull- through for Hirschsprung's disease[J].Ann Surg,1999,229(9):678-683.
  • 3余亚雄 童尔昌.小儿外科学[M](第3版)[M].北京:人民卫生出版社,1997.154.
  • 4王果.先天性巨结肠治疗进展与微创手术[J].中华小儿外科杂志,2003,24(2):103-104. 被引量:21

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