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目的探讨改良Soave术治疗婴儿先天性巨结肠的疗效。方法对13例婴儿先天性巨结肠采用改良Soave术治疗。结果所有患儿术中顺利,手术平均时间为125min,出血量约50ml,术中切除结肠5~45cm,平均18cm,无手术死亡病例,术后随访6个月~1年,排便功能正常,无便秘复发,无污粪无肛门狭窄等并发症发生。结论该手术方法具有损伤小,术后恢复快、并发症少等优点。改良Soave术是一种安全有效的治疗婴儿先天性巨结肠的手术。
Objective To investigate the therapeutic effect of modified Soave on infant Hirschsprung’s disease. Methods Thirteen infants with Hirschsprung’s disease were treated with modified Soave technique. Results All the patients were operated smoothly. The average operation time was 125 minutes and the bleeding volume was about 50ml. The intraoperative resection of the colon was 5 ~ 45cm with an average of 18cm. No operative deaths were observed. The patients were followed up for 6 months to 1 year. The defecation function was normal, Constipation recurrence, no stool without anal stenosis and other complications. Conclusion The operation method has the advantages of less injury, quick recovery after operation and less complications. Improved Soave is a safe and effective procedure for the treatment of Hirschsprung’s disease in infants.