摘要
目的总结儿童乙状结肠冗长症的临床表现,诊断和治疗方法。同时,讨论其病理特点及其与先天性巨结肠症的关系。方法回顾性分析15例乙状结肠冗长患儿的临床表现、诊治过程和病理特点。结果患儿主要临床表现为慢性、反复性便秘,发病均在1岁以后。所有患儿查体均无明显腹胀,肛门指检无爆破样排气排便。主要诊断靠钡灌肠X线片和病理活检。常进行开塞露诱导排便、洗肠、肛门排便反射训练等保守治疗,部分症状较轻患儿可出现较长时间的缓解。但重症患儿仍反复出现便秘,最终需手术治疗。结论儿童乙状结肠冗长症是一种肠道自主神经系统发育异常性疾病,可将其视为先天性巨结肠症同源病的一种特殊类型。
Objective The diagnosis, pathology, and management of sigmoid colon lengthiness in children was reviewed. And, the relationship between sigmoid colon lengthiness and Hirschsprung＇ s disease was discussed. Methods The clinical representation, pathological characteristics and management were analyzed in 15 cases. Results The main symptom was repeat constipation in all cases. The first representation appeared after 1 age. There were not severe abdominal distention and explosive defecate in patients. Although barium - clystered radiograph was the first selection in dianosis, biopsy was necessary in some patients. Conservative therapy was generally effective, however, operation was the radical treatment to obstinate case. Conclusion Pediatric sigmoid colon lengthiness can be considered as a parasympathetic system disease of colon or a special type of allied disorder of Hirschsprung＇ s disease.
出处
《四川医学》
CAS
2008年第9期1194-1195,共2页
Sichuan Medical Journal
关键词
乙状结肠冗长症
巨结肠
儿童
sigmoid colon lengthiness
Hirschsprung＇ s disease
children
