先天性巨结肠合并小肠结肠炎的临床分析  

Congenital megacolon accompanying enterocolitis

作　　者：王政[1] 刘贵麟[1] 苏刚[1] 陈迪祥[1] 肖元宏[1] 

机构地区：[1]解放军总医院小儿外科,北京100853

出　　处：《军医进修学院学报》2012年第10期1013-1014,1026,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的探讨先天性巨结肠(hirschsprung's disease,HD)合并小肠结肠炎(enterocolitis EC)的临床特点、治疗方法及预防措施。方法回顾性分析1993年4月-2012年4月我院收治的82例先天性巨结肠中21例合并小肠结肠炎的临床资料。结果合并小肠结肠炎21例中术前并发小肠结肠炎18例,术后并发小肠结肠炎3例;8例行结肠造口术,7例痊愈,1例死亡;13例未造口患儿,均保守治疗,11例痊愈,2例死亡。造口与未造口者生存率差异无统计学意义(P=0.225)。结论结肠灌洗及结肠造口术是治疗小肠结肠炎的有效方法。术前发生小肠结肠炎与手术时间间隔是术后发生小肠结肠炎的重要因素。Objective To study the clinical characteristics,treatment modalities and prevention measures of congenital megacolon accompanying enterocolitis（EC）.Methods Clinical data about 82 congenital megacolon patients（including 21 were complicated with EC） admitted to our hospital from April 1993 to April 2012 were retrospectively analyzed.Results Of the 21 patients with congenital megacolon accompanying EC,18 were complicated with EC before operation and 3 were complicated with EC after operation.Of the 8 patients who underwent intestinal fistulation,7 were cured and 1 died.Of the 13 patients who did not undergo fistulation,11 were cured and 2 died after conservative treatment.No significant difference was found in survival rate between the patients who underwent fistulation and those who did not underwent fistulation（P0.05）.Conclusion Enemata and intestinal fistulation are the two effective treatment modalities for EC.Occurrence of EC before operation and operation time interval are the two important factors for the occurrence of EC after operation.

关 键 词：先天性巨结肠 小肠结肠炎 儿童 

分 类 号：R726.569[医药卫生—儿科]