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目的 提高先天性巨结肠的手术疗效。方法 回顾 1992年 8月至 2 0 0 2年 8月应用直肠后矢状纵切、心形吻合技术治疗诊断明确的先天性巨结肠患儿 10 6例 ,分析疗效及并发症防治。结果 10 6例患儿术后全部随访 2个月～ 10年 ,并发小肠结肠炎 5例 ,偶有污粪 2例 ,便秘复发 3例 ,无盆腔、腹腔感染及吻合口狭窄发生。结论 应用直肠后矢状纵切、心形吻合技术治疗先天性巨结肠 ,可提高手术疗效 ,减少并发症
Objective To improve the surgical treatment of Hirschsprung’s disease. Methods From August 1992 to August 2002, 106 patients with diagnosed Hirschsprung disease were treated with sagittal longitudinal sagittal rectum and heart anastomosis. The curative effect and prevention and treatment of complications were analyzed. Results All 106 cases were followed up for 2 months to 10 years. 5 cases were complicated with enterocolitis, 2 cases were occasional stool excretion and 3 cases were recurrent constipation. No pelvic cavity, abdominal cavity infection and anastomotic stenosis occurred. Conclusions The application of sagittal sagittal and anastomosis techniques in the treatment of Hirschsprung’s disease can improve the curative effect and reduce the complications