心形吻合术治疗先天性巨结肠症

Stump anorectal longitudinal incision and colorectal heart-shape anastomosis for the treatment of Hirschsprung′s disease

目的 评价直肠肛管纵切、心形吻合术治疗先天性巨结肠症的手术疗效。方法 对1991年 4月至 2 0 0 0年 4月间应用直肠肛管纵切、心形吻合术治疗先天性巨结肠症 98例的疗效与手术并发症进行分析。结果 98例患者中术后均未发生盆腔、腹腔及伤口感染 ,无吻合口狭窄。 1例出现吻合口漏经修补痊愈。全部病例随访 5个月至 8年 :便秘复发 3例 ,经扩肛 6个月后痊愈 ;偶有污粪 1例 ;小肠结肠炎 6例 ;术后并发症的总发生率为 11 2 %。结论 直肠肛管纵切、心形吻合术治疗先天性巨结肠症 ,可提高手术效果并减少并发症。

Objective[WT5”BZ] To evaluate the effect of stump anorectal longitudinal incision and colorectal heart shape anastomosis for the treatment of Hirschsprung′s disease (HD). Methods Ninety eight children with HD underwent colorectal resection and GI reconstruction by our method from April 1991 to April 2000. Results All patients were followed up for 5～96 months. There were no postoprative infection in pelvic and celiac cavities or wound infection,nor anastomotic strictures. One patient had an anastomotic fistula that was treated successfully by early repair. Recurrent constipation in 3 cases was successfully treated by dilatation. One patient experienced occasional fecal seepage. Enterocolitis occured in six patients. The overall complication rate was 11 2%.[WT5”HZ] Conclusion[WT5”BZ] Anorectal longitudinal incision and heart shape colorectal anastomosis has the advantage of satisfactory clinical result and less complication in the treatment of HD.