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我院自采用改良式Soave法治疗先天性巨结肠38例,现结合病例对术后并发症的预防和处理进行讨论。临床资料:本组男35例,女3例。手术时年龄自生后57天～7岁,其中2岁以下婴幼儿33例。(87％)。术前钡灌肠造影并结合切除标本病理检查证实均为普通型先天性巨结肠。35例为Ⅰ期手术,3例为分期手术,其中1例3岁时作了Duhamel手术,因术后仍有巨结肠症状而作改良法Soave手术。另1例生后3个月并发肠结肠炎保守治疗无效而作乙状结肠造瘘,11个月时作
In our hospital since the use of modified Soave treatment of 38 cases of Hirschsprung’s disease, are now combined with cases of postoperative complications prevention and treatment are discussed. Clinical data: The group of 35 males and 3 females. Surgery age 57 days after birth to 7 years, of which 33 cases of infants under 2 years old. (87%). Preoperative barium enema with pathological examination of excised specimens were confirmed common type of Hirschsprung’s disease. 35 cases were stage I and 3 cases were staged. Among them, 1 had Duhamel surgery at the age of 3, and modified Soave was used because of postoperative morbidity of megacolon. Another case of 3 months after birth complicated by bowel colitis conservative treatment for sigmoid colostomy, 11 months for