改良Martin术治疗小儿先天性全结肠型巨结肠的临床分析

Investigation of Modified Martin Radical Operation of Total Clonic Aganglionosis in Children

目的探讨改良Martin术治疗小儿先天性全结肠型巨结肠实施方法、手术效果。方法对16例先天性全结肠型巨结肠患儿病例资料进行回顾性临床分析。结果全部病例先期行回肠造瘘术,14例半年后行根治术,全部治愈,2例放弃治疗。结论一期回肠造瘘是治疗小儿全结肠型巨结肠的关键,结肠化回肠拖出术治疗先天性全结肠型巨结肠应作为首选术式。

Objective To explore the clinical feasibility and effect of modified Martin radical operation of colonic aganglionosis in ehildred. Method A retrospective analysis of 16 cases hospitalized during 1998 to 2008 with total colonic aganglionosis underwent modified Martin radical operation. Result All cases were recepted ileostomy in one stage, of which 14 cases underwent Modified Martin radical operation after halfa year, these individuals were all successful. Non-surgical treatment of 2 cases. Conclusion One stage ileostomy is critical for operation, and modified Martin radical operation is introducted as first option in the treatment of total colonic aganglionosis in children.