经肛门Ⅰ期巨结肠根治术后排便功能随访

A follow-up study of bowel-control after one-stage transanal rectosigmoide- -domy for Hirschsprung's disease

目的 评价经肛门Ⅰ期巨结肠根治术后患儿排便功能控制。方法 对27例先天性巨结肠行肛门Ⅰ期巨结肠根治。术后随访患儿6mo-3a,对大便控制能力、便秘等并发症的发生率进行评价。结果获访20例,大便控制评分正常12例,好6例,欠佳2例;发生便秘3例;未发生结肠炎。结论 经肛门Ⅰ期巨结肠根治术后可获得良好的排便控制功能,切除部分无神经节直肠肌鞘组织。可减少术后便秘等并发症。

Objective To appraise the bowel movement and anal continence in patient after one-stage pull-through for Hirschsprung , s disease (HD). Methods 27 patient (aged 6 moths to 3 years) with HD underwent endorectal pull-through procedure, postoperative follow-up include the occurrence of operative related complicative sush as anastomotic stenpsis or fistula and continence, constipation or postoperative enterocolitis. Results 20 patient completed the stuty with a mean follow-up . the assessment of anal contience was graded as nomal , good, and fair according to the previous study of other investigators, of the 20 patient, 12 were graded as normal, whereas 6 were as good and 2 fair. 2 patient developed constipation, there was no postoperative enterocolitis. Conclusions this procedure can get a good bowel control outcome, resection partial non-gangliocyte rectal muscularis can decreased post-operative complication.