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目的:探讨改良Soave术Ⅰ期治疗新生儿全结肠型先天性巨结肠的疗效及可行性。方法:自2002年4月至2006年10月对我科收治的3例新生儿全结肠型先天性巨结肠进行改良Soave术Ⅰ期根治。结果:3例患儿均手术顺利,无1例死亡,术后大便每天约10～20次,以后大便次数逐步减少,6个月至1年每天后大便约1～3次,大便成形,排便功能正常。结论:改良Soave术Ⅰ期治疗新生儿全结肠型先天性巨结肠与传统Martin术相似,由于目前临床病例数不多,还需进一步观察。
Objective: To investigate the efficacy and feasibility of modified Soave ’s stage Ⅰ treatment of neonatal total colon type Hirschsprung’ s disease. Methods: From April 2002 to October 2006, 3 cases of neonatal colon-type Hirschsprung’s disease treated in our department were treated with modified Soave technique. Results: All the 3 cases were operated smoothly, none died and the postoperative stool was about 10 ~ 20 times a day. Afterwards, the number of stools gradually decreased. The stool was about 1 ~ 3 times every 6 months to 1 year. The stool was formed and defecated functioning normally. Conclusion: The modified Soave stage Ⅰ treatment of neonatal colon-type Hirschsprung’s disease similar to the traditional Martin, due to the current number of cases, need further observation.