1992年3月以来,我们采用直肠肛管背侧纵切吻合法治疗先天性巨结肠21例,经与Duhamel改良术式比较,效果良好,现报告如下: 1 临床资料 本组采用直肠肛管背侧纵切吻合法治疗先天性巨结肠21例,均为男性,年龄4个月～9岁,平均1岁7个月。生后均有便秘、腹胀等典型先天性巨结肠症状和体征,经钡灌肠检查诊断,术后全部由病理切片证实。其中短段型2例,常见型14例,长段型 Since March 1992, we use the dorsal rectal anal anastomosis longitudinal treatment of 21 cases of Hirschsprung’s disease, compared with modified Duhamel surgery, the effect is good, are as follows: 1 clinical data of the group of rectal anal canal Side longitudinal anastomosis treatment of Hirschsprung 21 cases were male, aged 4 months to 9 years, an average of 1 year and 7 months. After birth, both constipation, abdominal distension and other typical symptoms and signs of Hirschsprung ’s disease, barium enema examination after diagnosis, all confirmed by pathology. Among them, 2 cases were short-segment type, 14 were common type and long segment type