新生儿I期经肛门先天性巨结肠根治术14例报告  

One-stage transanal rectosigmoidectomy for Hirschsprung's disease in neonates: a preliminary outcome of 14 cases

作　　者：李庆浩[1] 李清[1] 时继东[1] 张向鑫[1] 吕秀芝[1] 张凯[1] 

机构地区：[1]泰山医学院第一教学医院小儿外科,山东泰安271000

出　　处：《泰山医学院学报》2004年第1期50-51,共2页Journal of Taishan Medical College

摘　　要：目的　探讨新生儿期先天性巨结肠的根治性手术方法和临床效果。方法　对 14例已证实的新生儿先天性短段型、常见型巨结肠行I期经肛门先天性巨结肠根治术。结果　全组手术顺利 ,无死亡、无术中、术后短期并发症 ,平均手术时间 10 0min(90～ 12 0min) ,平均出血 15ml,术后随访 1～ 30个月均无排便不良 ,日排便 2～ 4次/d ,无污粪。结论　该手术效果满意 ,且手术创伤小 ,手术时间短 ,切口隐蔽 ,并降低了术后并发症 ,病人家属易于接受。Objective: To discuss the minimal invasion operation on Hirschsprung's disease and its preliminary results. Methods: Fourteen patients with Hirschsprung's disease (Include short-segment type and common type) underwent one-stage transanal rectosigmoidectomy. Resection: of the rectal muscularis below the peritoneal reflection was carried out. The abnormal state segment of colon was pulled out and reset. Results: All patients recovered with normal defection. The mean operative duration was 100 minutes (90～120 minutes) and an average volume of bleeding was about 15ml.There were no death, no intraoperative or postoperative complications. All patients had 2～4 bowel movements per day without soiling during a period of 1～30 months' follow-up. Conclusion: Trans-anal pull through colorectal anastomosis without caparotomy is a new approach for Hirschsprung's disease. It is an easy adaptation to a well-described technique in neonates. It reduced postoperative complications and easy accepts to patient's families.

关 键 词：新生儿 HIRSCHSPRUNG病 肛门 消化系统手术方法 

分 类 号：R726.5[医药卫生—儿科]