改良Soave术吻合器吻合治疗先天性巨结肠症  

Modified Soave Procedure with Stapler for Treatment of Hirschsprung Disease

作　　者：杨建国[1] 王志刚 李正平[1] 陈卫东[1] 黄金山[1] 张海[3] 

机构地区：[1]湖北省襄阳市解放军第477医院普通外科 [2]湖北省武汉市62101部队门诊部 [3]湖北省襄阳市解放军第477医院病理科

出　　处：《中国普外基础与临床杂志》2011年第10期1095-1097,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨改良Soave术吻合器吻合根治先天性巨结肠症(HD)的临床价值。方法回顾性分析解放军第477医院2002年1月至2010年12月期间采用改良Soave术经肛门直肠黏膜与近端肠管端端吻合器吻合治疗的26例HD患者的临床资料。结果改良Soave术吻合器吻合26例患者均顺利完成手术,无吻合口漏、直肠肌鞘感染及小肠结肠炎并发症发生。2例术后出现大便次数增多,分别于经口服收敛药物后15d及30d恢复正常。轻度污粪1例。所有病例均获得随访,随访时间3～60个月,平均32个月,无排粪失禁及便秘发生。结论改良Soave术吻合器吻合,治疗年长儿童及成人HD安全、有效。Objective To explore the clinical value of modified Soave procedure with stapler for the treatment of Hirschsprung disease. Methods The clinical data of 26 patients with Hirschsprung disease adimitted in No.477 hospital from January 2002 to December 2010 were analyzed retrospectively.All the patients underwent modified Soave operation with rectal mucosa and proximal intestine stapled end-to-end. Results All operations were successful without anastomotic leakage,aponeurosis of investment infection,and colonitis.Increased stool frequency presented in two cases,which were cured with astringents on day 15 and 30 after operation,respectively.Mild fecal contamination was in one case.All cases were followed up between 3 months to 60 months,with an average 32 months,without incontinence and constiptation. Conclusion Modified Soave procedure with stapler is safe and effective for the treatment of Hirschsprung disease in elder children and adult.

关 键 词：先天性巨结肠 改良SOAVE术 吻合器 并发症 

分 类 号：R726.5[医药卫生—儿科]