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