论文部分内容阅读
目的:探讨新生儿期经肛门SoaveⅠ期拖出根治术(经肛soave术)对巨结肠相关性小肠结肠炎(HAEC)的治疗效果和术后影响。方法:回顾性分析新生儿期先天性巨结肠普通型及以下类型的病例中研究组76例行经肛soave术和对照组49例行传统结肠造瘘术,统计两组对HAEC的治疗效果和术后发病情况,并分析研究组扩张肠段的额外切除对HAEC的影响。结果:对于术前合并HAEC,经肛soave组死亡5例,治愈率91.07%,对照组死亡3例,治愈率92.11%,两组差异无统计学意义(P>0.05)。经肛soave术组术后有23例并发HAEC,发病率30.27%,对照组并发HAEC17例,发病率34.69%,两组差异无统计学意义(P>0.05)。同时,扩张段的额外切除(n>5cm)对HAEC治愈率和术后发病率也无明显影响。结论:与传统结肠造瘘术相比,经肛Soave术对HAEC能够达到相同的治愈效果,术后HAEC的发病率也无明显差异;新生儿期经肛saove术中扩张段的额外切除并不能提高小肠结肠炎的治愈率和降低术后发生率。
Objective: To investigate the therapeutic effects and postoperative effects of neonatal Soave phase I analusis (rectal soave technique) on colonic-associated enterocolitis (HAEC). Methods: A retrospective analysis of 74 cases of neonatal Hirschsprung’s common type and the following types of cases in the study group of 76 patients underwent anal soave surgery and control group of 49 cases of conventional colostomy, the two groups of HAEC treatment effect and Postoperative morbidity and analyze the effect of additional resection of the bowel segment on HAEC in the study group. Results: For the preoperative combined HAEC, 5 patients died of rectal soave, the cure rate was 91.07%, and 3 patients died in the control group. The cure rate was 92.11%. There was no significant difference between the two groups (P> 0.05). There were 23 cases complicated with HAEC in the soave group after operation, the incidence rate was 30.27%. In the control group, 17 cases were complicated with HAEC, the incidence rate was 34.69%. There was no significant difference between the two groups (P> 0.05). At the same time, extra resection (n> 5cm) of the dilatation segment had no significant effect on the cure rate of HAEC and postoperative morbidity. CONCLUSIONS: Compared with traditional colostomy, transvaginal Soave can achieve the same curative effect on HAEC and there is no significant difference in postoperative morbidity of HAEC. Additional resection of the antegrade saave during the neonatal period can not Improve the cure rate of enterocolitis and reduce the incidence of postoperative.