摘要
目的:探讨经肛门改良Soave术和经腹治疗先天性巨结肠的临床疗效。方法:对大于3岁的41例患儿(经肛门改良Soave术治疗28例,经腹治疗24例,在术后并发症和排便功能等方面进行回顾性对比分析。结果:并发症的总发生率经肛门改良Soave术明显少于经腹,HAEC发生率低于经腹组,有统计学意义。总的排便控制和大便形态方面经肛门改良Soave术优于经腹。结论:经肛门改良Soave术治疗先天性巨结肠方法可行、安全,效果优于经腹,但是术后仍有诸多并发症,特别在排便控制方面,仍需大量的病例进行长期的随访研究评估。
Objective： To investigate the efficacy of modified Soave operation through the anus and abdomen in the treatment of Hirschsprung Disease（HD）. Methods： 41 patients who underwent operation for HD（transanal approach,n=20; transabdominal approach, n=21） were reviewed between1995-2003.clinieal outcome was assessed retrospectively. Results： Complications were lower in the transanal approach group than transabdominal approach. The continence and thestool pattern were better in the transanal approach group than transabdominal approach group. Conclutions： The transanal endorectal pull-through for HD is a feasible and safe procedure. But there were still some complications especially for stool continent,so careful long-term follow-up is required to assess the clinical outcome.
出处
《现代生物医学进展》
CAS
2011年第11期2135-2137,共3页
Progress in Modern Biomedicine
关键词
先天性巨结肠
经肛
经腹
随访
Hirschsprtmg,s disease
Transanal endorectal pull-through
Transabdominal pull- through
Follow-up
