摘要
为总结成人先天性巨结肠（AHD）的诊断和手术治疗经验，对辽宁省葫芦岛肛肠医院2000年1月至2012年2月收治的5例AHD患者资料进行回顾分析。结果显示，本组5例患者均有长期便秘史，均有腹胀、腹痛、肛门停止排气和排便、恶心、呕吐等肠梗阻表现病史，均经钡剂灌肠检查确诊；均采用结肠次全切除及直肠Dixon术治疗成功，术后无吻合口漏和吻合口狭窄等并发症发生；随访6个月至10年，患者排便正常，均无复发。结果表明，依据婴幼儿期有长期便秘史、反复出现肠梗阻表现和钡剂灌肠检查便可确诊AHD。结肠次全切除及直肠Dixon术治疗AHD安全有效。
In order to sum the experience on diagnosis ＆ treatment of adult Hirschsprung＇s diseases（AHD） authors retrospectively analyzed the data of 5 patients with AHD admitted in author＇s hospital from Jan. 2000 yr. to Feb. 2012 yr. As results,all of patients had long-term constipation history,and intestinal ob struction manifestations such as abdominal pain, burbulence, stopped flatus and defecation, nausea, vomi- ting,etc;which were all confirmed by barium enema examination, and treated successfully with sub-resec- tion of colon and Dixon＇s procedure for rectum; after operation no the complications as anastomosis stoma leakage and stenosis,etc occured;the follow-up of 0.5-10 yr. found defecation being normal,and no recur- rence. Results show that if at infancy there are long-term constipation history,recurrent intestinal obstruc- tion symptoms,combined with barium enema examination AHD could be confirmed;subresection of colon and Dixon＇s procedure for rectum is safe and effective in the treatment of AHD.
出处
《中国肛肠病杂志》
2012年第12期42-43,共2页
Chinese Journal of Coloproctology
