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目的探讨小儿先天性巨结肠采取临床手术治疗的效果。方法选取2012年1月至2013年12月我院收治的患有先天性巨结肠的患儿30例,均给予经肛门巨结肠根治术治疗,对其临床治疗效果、并发症以及手术后控制大便能力进行分析研究。结果经过手术治疗后,患儿临床手术时间为60~150 min,平均(91±33)min,手术当中切除结肠20~40 cm,平均(31.3±0.2)cm;平均失血量(30.3±2.6)ml。术后患儿均未有粘连性肠梗阻和肛瘘等相关并发症发生;跟踪随访12个月,患儿每天大便0~3次,1例患儿控制大便能力较差,无1例完全大便失禁。结论小儿先天性巨结肠采取经肛门巨结肠根治术治疗,治疗效果明显,并发症发生率低。
Objective To investigate the effect of clinical surgical treatment on Hirschsprung’s disease in children. Methods Thirty children with Hirschsprung’s disease who were admitted to our hospital from January 2012 to December 2013 were enrolled in this study. All of them were treated by radical anorectal anastomosis. The clinical effects, complications and stool control Ability to analyze. Results After operation, the clinical operation time was 60-150 min (mean, 91 ± 33) min. The average length of colon was 20-40 cm (mean, 31.3 ± 0.2 cm), average blood loss (30.3 ± 2.6) ml. No postoperative complications such as adhesive intestinal obstruction and anal fistula occurred. The patients were followed up for 12 months with 0 ~ 3 stools per day. One patient had poorer stool control and none had complete fecal incontinence . Conclusion Hirschsprung’s disease in children treated by transanal Hirschsprung’s disease, the treatment effect is obvious, the complication rate is low.