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目的探讨改良Soave术吻合器吻合根治先天性巨结肠症(HD)的临床价值。方法回顾性分析解放军第477医院2002年1月至2010年12月期间采用改良Soave术经肛门直肠黏膜与近端肠管端端吻合器吻合治疗的26例HD患者的临床资料。结果改良Soave术吻合器吻合26例患者均顺利完成手术,无吻合口漏、直肠肌鞘感染及小肠结肠炎并发症发生。2例术后出现大便次数增多,分别于经口服收敛药物后15d及30d恢复正常。轻度污粪1例。所有病例均获得随访,随访时间3～60个月,平均32个月,无排粪失禁及便秘发生。结论改良Soave术吻合器吻合,治疗年长儿童及成人HD安全、有效。
Objective To investigate the clinical value of modified Soave intraoperative stapling in treating Hirschsprung’s disease (HD). Methods The clinical data of 26 patients with HD who underwent anastomosed anorectal mucosa and proximal intestinal end-stapler in the 477 Hospital of PLA from January 2002 to December 2010 were retrospectively analyzed. Results Modified Soave intraoperative stapling anastomosis in 26 patients were successfully completed surgery, no anastomotic leakage, rectal muscular sheath infection and enterocolitis complications. Two cases of postoperative stool frequency increased, respectively, after oral administration of drugs on the 15d and 30d returned to normal. 1 case of mild stool. All patients were followed up for 3 ~ 60 months, with an average of 32 months, without fecal incontinence and constipation. Conclusion Improved Soave intraoperative stapling anastomosis, treatment of elderly children and adults HD safe and effective.