摘要
目的乙状结肠冗长症是引起小儿便秘的主要原因之一，为进一步提高该病的诊治水平，对该病的诊断和治疗作进一步探讨。方法总结我院近7年来（1991～1997年）收治的12例乙状结肠允长症的临床资料。乙状结肠冗长症有典型的便秘症状。钡灌肠显示12例乙状结肠比正常对照组平均长22cm。直肠肛管测压检查：直肠肛管松弛反射存在，呈“W”型特殊波型。组织化学检查：无胆碱能神经。采用二种手术方法进行治疗：①直肠内括约肌切除（7例）；②根治术（5例）。结果术后随访2个月～7年，平均2．5年，均获满意效果。结论小儿乙状结肠冗长症的诊断首选钡灌肠，治疗方法首选非手术治疗，无效时，可施行直肠内括约肌切除术。
Objective Redundant sigmoid colon is a major cause of constiopation in children. This sutdy is to disscuss the diagnosis and treatment for this episode. Methods Twelve children presented with typical constipation were admitted form 1991 to 1997. The barium enema examination shawed that the length of sigmoid colon was 22 cm longer in average than the controls. Anorectal manometry showed a spe-cial wave. Histochemistry study demonstrated that the cholinergic nerv was absent in the diseased colon.The surgical treatment uncluded transacral approach internal sphincterotomy (7), and pull-through proce-dure(5).Results All cases have got satisfactory outcome with a follow-up of 2months to 7 years (average,2. 5yrs).Conclusions The diagnosis of redundant sigmoid colon of children is confirmed by clinical symp-toms and barium enema. With reasonable therapeutic options a satisfactory result can be achieved.
出处
《中华小儿外科杂志》
CSCD
1999年第6期345-346,共2页
Chinese Journal of Pediatric Surgery
关键词
乙状结肠冗长
便秘
诊断
治疗
儿童
Redundant sigmoid colon, Constipation, Diagnosis, Treatment, Child
