先天性巨结肠症状与病变肠段关系分析  

The Relation Between the Severity of Symptoms and the Pathological Characters in Hirschsprung's Disease

作　　者：王怡平[1] 佘亚雄[1] 张忠德[1] 

机构地区：[1]上海第二医科大学附属新华医院小儿外科,上海第二医科大学附属新华医院病理科

出　　处：《中华小儿外科杂志》1994年第5期279-281,共3页Chinese Journal of Pediatric Surgery

摘　　要：先天性巨结肠（ＨＤ）症状的严重程度与病变肠段之间关系知道甚少。对２０２例ＨＤ患儿的症状与１４项临床和病理因素进行逐步回归和Ｌｏｇｉｓｔｉｃ分析，发现ＨＤ的症状严重程度与狭窄段移行段总长、肠道炎症等８项因素有关，而与狭窄段长度、狭窄段中神经纤维增生程度等６项因素无关。这在理论上解释了某些手术成败的原因，对临床治疗ＨＤ有一定的指导意义。Fourteen selected items of the clinical and pathological criteria of 202 Hirschsprung's disease (HD) with different severity of symptoms were analysed by stepwise regression and logistic regression. The severity of HD symptoms was significantly correlated with 8 items including the length of the narrow and transitional segment, enterocolitis, and etc. but not with the other 6 factors including the narrow segment and density of nerve fibers in the narrow segment. This result may explain theoritically the success or failure of some operations for HD and may guide the treatment of HD.

关 键 词：巨结肠 先天性 症状 病变肠段 

分 类 号：R725.746.2[医药卫生—儿科]