长长段型巨结肠的临床特点及治疗(附3例报告)、;

CLINICAL FEATURES AND TREATMENT OF LONG LONG-SEGMENTAL TYPE OF CONGENITAL MEGACOLON-REPORT OF 3 CASES

本文报告3例小儿不能采用一般结肠拖出术进行治疗的长长段型巨结肠,结合文献讨论了此种巨结肠的临床特点和根治方法。作者认为有剩余结肠可以利用但不足以施行拖出手术时可以采用游离回肠拌拖出术。必须行全结肠以上切除时,可以行改良马丁氏右结肠补片回肠拖出术.在加强和改进术后护理的情况下也可以采用不作贮袋的一期回肠拖出术。

This, paper reports three cases of long long-segmeatal type of congenital megacolon, which can not be treated by using the ordinary colonic pull through. The clinical features and the definitve operation of this type are discussed on the basis of relevant literature review. The authors suggest that in ease the remnant colon may be utilized but can not be pulled through, the method of isolated ileal-loop endorectal pull-through is worthy of performing. If total colonectoray must be carried out, the method of ileal endorectal pullt-hrough with the creation of a side-to-side anastomsis of ileum to 10 cm of cecum and ascending colon may be performed. The Method of primary ileai endorectal pull-through without creation of ileal pouch may also be performed provided the postoperative care is intensified and improved.