对 12例先天性巨结肠患儿采用腹内不断结肠经直肠内套出结肠 ,直肠肛管纵切 ,结肠直肠前高后低心形吻合不用夹具的手术方法。患儿平均住院 30d ,吻合口狭窄 1例 ,1月后作狭窄部切开 ;1例发生尿潴留 ,3个月后恢复 ;2例肛门污粪。全组钡灌肠复查结肠无狭窄及扩张 ,肛门排便功能正常。直肠肛管纵切心形吻合术根治先天性巨结肠症 ,不造成腹腔感染 ,不用夹具 ,术后肛门排便功能恢复快 ,并发症少。 12 cases of Hirschsprung’s disease in children with intra-abdominal continuous colorectal rectal intussusception of the colon, rectal anal canal longitudinal, colorectal anterior high low anastomosis without jig operation method. The average hospitalization of children 30d, anastomotic stenosis in 1 case, 1 month after the stenosis incision; 1 case of urinary retention, recovery after 3 months; 2 cases of anal stool. Barium enema review of the whole group without stenosis and expansion of the colon, anal defecation normal. Anorectal longitudinal slipped heart-shaped anastomosis Hirschsprung disease, does not cause abdominal infection, no jig, postoperative anorectal defecation recovery faster, fewer complications.