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目的总结应用结肠次全切除术治疗先天性巨结肠的经验，探讨手术适应症，术中注意事项，术后腹泻的治疗及排便功能的恢复规律。方法采用回顾性研究的方法，对临床治疗经过及随访资料进行分析。结果１２例手术患儿住院经过顺利，仅１例发生切口感染。随访８例，便秘症状全部消失。术后４年以上者４例，排便正常；术后１年者２例，排便基本正常；术后半年者２例，排便不正常。结论结肠次全切除术是治疗某些类型先天性巨结肠症的有效方法，虽然术后排便功能恢复较慢，但最终都能恢复正常。
Objective To summarize the experience of applying subtotal colon resection in the treatment of Hirschsprung’s disease and to discuss the indications for surgery, the precautions during surgery, the treatment of postoperative diarrhea and the recovery of defecation function. Methods A retrospective study of clinical treatment and follow-up data were analyzed. Results 12 cases of children underwent surgery were successfully hospitalized, only 1 case of incision infection. Follow-up in 8 cases, all the symptoms of constipation disappeared. Four cases were followed up for more than 4 years with normal defecation. Two cases were followed up for 1 year after operation. The defecation was basically normal. Two months after operation were found in two cases with abnormal defecation. Conclusion Subtotal colon resection is an effective method for the treatment of some types of Hirschsprung’s disease. Although postoperative defecation recovery is slow, it can eventually return to normal.