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目的 总结经肛门SoaveⅠ期拖出根治术治疗小婴儿先天性巨结肠的手术过程、疗效及短期随访。方法 自 1999年经该术式治疗小婴儿先天性巨结肠 14例。均经钡剂灌肠和直肠粘膜吸引活检诊断为常见型巨结肠。结果 14例切除结肠 17～ 2 4cm ,均于术后 2～ 4d开始进食 ,术后 1个月随访 :每日排便 8～ 10次 ,其中 9例行钡剂灌肠未见结肠扩张 ,2 4h无钡剂潴留 ;6个月随访 (12例 )每日排便 1～ 3次 ,无污粪。结论 经肛门SoaveⅠ期拖出根治术治疗小婴儿常见型先天性巨结肠 ,手术创伤小、操作简单、近期疗效良好。
Objective To summarize the surgical procedure, curative effect and short-term follow-up of treatment of Hirschsprung’s disease in infants with anal Soave Ⅰ-delayed radical mastectomy. Methods Since 1999, 14 cases of Hirschsprung’s disease were treated by this procedure. Both barium enema and rectal mucosa to attract biopsy diagnosis of common type megacolon. Results 14 cases of resection of the colon 17 ~ 24cm, were 2 ~ 4d after the start of the diet, 1 month follow-up: daily defecation 8 to 10 times, of which 9 cases of barium enema no colonic dilatation, 24h Barium retention; 6 months follow-up (12 cases) daily defecation 1 to 3 times, no sewage manure. Conclusion Anus Soave Ⅰ dragged out the radical treatment of common small infants with Hirschsprung’s disease, surgical trauma, simple operation, the recent good effect.