小儿先天性巨结肠42例手术疗效分析  

Efficacy of surgery for infant congenital megacolon

作　　者：刘官和[1] 李子明[1] 陆显斌[1] 

机构地区：[1]右江民族医学院附属医院外科

出　　处：《右江民族医学院学报》1998年第4期528-529,共2页Journal of Youjiang Medical University for Nationalities

摘　　要：手术治疗小儿先天性巨结肠４２例，其中Ｄｕｈａｍｅｌ术９例，Ｓｗｅｎｓｏｎ术１１例，Ｓｏａｖｅ术６例，Ｒｅｈｂｅｉｎ术１０例，直肠后壁肌切除４例，直肠肛管纵切心形斜吻合术２例。术后污粪、便秘、小肠结肠炎及肛门狭窄发生率２１％。认为：手术疗效是与术前充分准备，选择适宜术式，术中精细操作，术后加强护理。Surgery treatment for 42 infants with congentital megacolon, of which Duhamel operation for 9 cases, Swenson for 11 cases, Soave for 6 cases, Rehbein for 10 cases, rectal posterior wall resection for 4 cases, and longitudinal incision cardioid oblique anastomosis in rectal anal canal for 2 cases. 21 percent of all the cases occurred postoperation feces, constipation, enterocolitis and stricture of anus. It suggested that the efficacy of the surgery is directly related to the operational preparation, appropriate operation, carefully processing, caring, and feeding.

关 键 词：儿童 巨结肠 先天性 外科手术 治疗 

分 类 号：R726.569[医药卫生—儿科]