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目的探讨先天性巨结肠经肛门Soave根治术的疗效及影响因素。方法对我院2001年至2009年收治的216例先天性巨结肠患儿的疗效及并发症情况进行回顾性分析。结果术后出血4例;因扩肛错误导致肠壁溃疡出血1例,吻合口开裂1例,再次吻合;小肠结肠炎15例,反复发作2例;结肠扭转2例;便秘13例,4例再次行Duhamel手术;鞘内感染4例,1例行脓肿切开引流。结论正确选择手术适应证及手术方式,术后随诊是减少术后并发症、提高手术疗效的主要因素。
Objective To investigate the curative effect and influential factors of anastomosis of giant hilar anastomosis on Soave. Methods The curative effect and complication of 216 cases of Hirschsprung’s disease in our hospital from 2001 to 2009 were analyzed retrospectively. Results Bleeding was found in 4 cases. One case of intestinal ulcer and 1 case of anastomotic rupture caused by incorrect anal anorectal anastomosis were reconstructed again. Fifteen cases of enterocolitis were recurrent and two cases of recurrent colonic were found. Twelve cases of constipation were found. Constipation occurred in 13 cases and in 4 cases Duhamel surgery again; intrathecal infection in 4 cases, 1 case of abscess incision and drainage. Conclusion The correct choice of surgical indications and surgical methods, postoperative follow-up is to reduce the postoperative complications and improve the surgical effect of the main factors.