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目的研究分析I期经肛门治疗小婴儿先天性巨结肠的临床效果。方法12例患先天性巨结肠小婴儿,11例I期经肛门完成根治术,手术年龄32d～158d。手术采用截石位或俯卧位,于直肠后壁齿状线上0.5cm～1.0cm,前壁齿状线上1.5cm～3.0cm切开直肠粘膜,向近端游离直肠粘膜达腹膜返折,环形切开肌鞘,游离近端结肠,拖出正常结肠与肛门斜形吻合。结果平均手术时间95min,均于12h内排便,无术中术后并发症。随访2个月～1年,临床效果良,无污便。结论I期经肛门巨结肠根治术安全简单,临床效果好,适于在小婴儿中开展。
Objective To study the clinical effect of I-stage anal treatment of Hirschsprung’s disease in infants. Methods Twelve cases of Hirschsprung ’s disease infants and 11 cases of stage I anus were performed. The operative age ranged from 32 days to 158 days. Surgery using lithotomy position or prone position, rectal wall dentate line 0.5cm ~ 1.0cm, anterior wall dentate line 1.5cm ~ 3.0cm incision rectal mucosa, to the proximal rectal mucosa up to peritoneal reentry, Ring cut muscle sheath, free proximal colon, pulled out of the normal colon and anus oblique anastomosis. Results The average operation time was 95 min, all defecation within 12 h, no intraoperative and postoperative complications. Follow-up 2 months to 1 year, clinical effect is good, no stool. Conclusion Stage I anal giant Hirschsprung radical surgery is safe and simple, the clinical effect is good, suitable for small infants.