经肛门不开腹Ⅰ期拖出根治术治疗小婴儿先天性巨结肠  

Trans-anal colonic pull-through for Hirschsprung's disease in infants without laparotomy

作　　者：刘董胜[1] 赵旌晖[1] 包平[1] 

机构地区：[1]安徽省蚌埠市第一人民医院小儿外科,233000

出　　处：《淮海医药》2002年第6期449-450,共2页Journal of Huaihai Medicine

摘　　要：目的　报道不开腹、不用腹腔镜 ,在微创操作下实现对小婴儿先天性巨结肠的根治术式。方法　采用经肛门斜行切断直肠 ,处理直肠、结肠系膜 ,拖出病变肠管并予以切除 ,结、直肠 I期斜面吻合的方法 ,治疗普通型巨结肠 5例。结果　所有病例手术获得成功。随访 1～ 8个月 ,未发生不良并发症。结论　经肛门 I期拖出根治术治疗小婴儿普通型先天性巨结肠 ,手术创伤小、操作简单。Objective To report the method of micro invasive operation on Hirschsprung's disease in infants without laparotomy and laparoscop.Methods Five common type patients with Hirschsprung's disease underwent trane anal slant rectotomy.Mesorectum and mesocolon were dissected.The dilated segment of colon was pulled out and resected.One stage slant colo rectal anastomosis was performed.Results All patients recovered with normal defecation and on compilcation was observed during the l～8 months' follow up period.Conclusion The trans anal one stage pull through technique for Hirschsprung's disease has many advantages such as minimal injury,simple procedure and good curative effect in infants.

关 键 词：经肛门不开腹I期拖出根治术 先天性巨结肠 婴儿 手术方法 

分 类 号：R726.569[医药卫生—儿科]