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目的介绍一种经肛管肌鞘内结肠拖下术。 方法 回顾性分析26例经肛管拖下术病例,在肛门上及直肠下段粘膜下分离,直肠壁有病变无法粘膜下游离者,亦应紧贴肠壁外解剖减少损伤的可能。拖下手术同时可行内括约肌重建。 结果所有病例无术中、术后严重并发症。近期随访效果良好。新生儿巨结肠手术可在60分钟左右完成。 结论该术式损伤小、近期效果好,适用于婴幼儿先天性巨结肠及某些肛门直肠畸形患儿。
Objective To introduce an intramuscular intrathecal drag surgery. Methods A retrospective analysis of 26 cases of anal sphincterotomy cases, submucosal separation in the anus and rectal lower rectal wall lesions can not be submucosal dissociation, should also be close to the intestinal wall anatomy to reduce the possibility of injury. Drag the surgery while sphincter reconstruction feasible. Results All cases without intraoperative and postoperative serious complications. Recent follow-up effect is good. Neonatal megacolon surgery can be completed in about 60 minutes. Conclusion The operation of small injury, the recent effect is good, suitable for infant Hirschsprung and some children with anorectal malformations.