经肛门Ⅰ期结肠拖出术治疗先天性巨结肠  

One-stage Transanal Colon Pull-through Rectosigmoidectomy for Hirschsprung's Disease

作　　者：杨忠刚[1] 段光琦[1] 李庆丰[1] 高增贺[1] 

机构地区：[1]张家口医学院附属第一医院小儿外科,075000

出　　处：《张家口医学院学报》2004年第1期28-29,共2页

摘　　要：目的 :介绍经肛门Ⅰ期结肠拖出术治疗先天性巨结肠的经验。方法 :10例先天性巨结肠均经肛门Ⅰ期结肠拖出术治疗 ,方法为在直肠齿状线上 0 .5cm处游离直肠粘膜达腹膜返折后切断肌鞘 1周 ,后壁肌鞘“V”形切除 ,游离拖出近端正常结肠与肛缘二层吻合。结果 :10例经肛门Ⅰ期结肠拖出术根治的患儿 ,手术时间短 ,出血少 ,术后反应轻 ,无术中和术后并发症。结论 :经肛门Ⅰ期结肠拖出术适宜治疗 3岁以内的短段型、普通型先天性巨结肠 ,较经腹切口巨结肠根治术简单、安全 。Objective To present our experience on one-stage transanal colon pull-through rectosigmoidectomy for Hirschsprung’s disease. Methods:Ten children with Hirschsprung's disease received One-stage transanal colon pull-through rectosigmoidectomy. The technique included a partial rectal mucosectomy at 0.5cm proximal to the dentate line . Resection of the rectal muscularis below the peritoneal reflection was carried out leavins a short muscular cuff . An anastomosis was made between the pull-through ganglionic colon and anus .Results: Ten children received One-stage transanal colon pull-through rectosigmoidectomy with short operative duration, less bleeding, and slight postoperative reaction . There were no intraoperative or postoperative complications .Conclusions: This procedure is suitable for patients with short segment and ordinary type below 3 years old . It's simple ,safe and effective.

关 键 词：经肛门Ⅰ期结肠拖出术 先天性巨结肠 外科学 手术治疗 

分 类 号：R656.9[医药卫生—外科学]