论文部分内容阅读
目的探讨分析经肛门巨结肠根治术治疗先天性巨结肠(HD)术后排便功能。方法 38例经肛门巨结肠根治术治疗HD患儿,来院复查36例。对来院复查患儿术后控便能力使用Krickenbeck国际分类标准中大便控制评分进行评价。结果大便控制优28例,良2例,差5例。3例患儿有持续性便秘,1例存在经常性污粪,1例出现肠炎。≤2个月患儿排便功能优秀率(90.9%)高于>2个月患儿(72.0%),但差异无统计学意义(P>0.05)。结论应用经肛门巨结肠根治术治疗HD,术后多数患儿排便控制功能良好,应重视近期并发症的预防和治疗,但早期手术并不能提高近期肛门功能。
Objective To investigate the analgesic effect of transanal Hirschsprung’s disease on postoperative bowel function in patients with Hirschsprung’s disease. Methods Thirty-eight cases underwent anastomosis of anus with Hirschsprung’s disease were treated with HD in 36 cases. Evaluation of postoperative bowel control in children was performed using the Krickenbeck International Classification of Stool Control Scores. Results Stool control was excellent in 28 cases, good in 2 cases and poor in 5 cases. 3 cases of children with persistent constipation, 1 case of regular stool, 1 case of enteritis. The excellent rate of bowel function (90.9%) in children younger than 2 months was higher than that in children> 2 months (72.0%), but the difference was not statistically significant (P> 0.05). Conclusions Application of anal giant Hirschsprung radical hysterectomy for HD, postoperative majority of children with good bowel control, should pay close attention to the prevention and treatment of recent complications, but early surgery and can not improve the recent anal function.