摘要
目的 报告一种新型I期经肛门巨结肠根治术及其手术效果。方法 15例经组织学检查诊断为直肠乙状结肠型巨结肠患儿均行I期经肛门巨结肠根治术 ,方法为在直肠后壁齿状线上1cm、前壁齿状线上 2～ 3cm切开直肠粘膜 ,向近端游离达腹腔水平后 ,切除腹膜外直肠肌鞘至肛提肌水平 ,残留肌鞘后壁“V”形切除。游离近端结肠 ,拖出正常结肠与肛门斜行吻合。结果 平均手术时间 145min(95～ 2 5 0min) ,平均出血 45ml。无术中和术后并发症。随访 1～ 4个月所有患儿排便 2～ 6次 /d ,无污粪。结论 Ⅰ期经肛门巨结肠根治术安全有效 。
Objective To present one stage transanal rectosigmoidectomy for Hirschsprung's disease (HD) and its preliminary results.Methods Fifteen children aging from 4 weeks to 11 months who underwent one stage transanal rectosigmoidectomy were reviewed. The technique included a partial rectal mucosectomy at 1cm proximal to the dentate line posteriorly and 2～3cm anteriorly.Resection of the rectal muscularis below the peritoneal reflection was carried out to the level of musculus levator left a short muscular cuff. An oblique anastomosis was made between the pull through ganglionic colon and anus. Results The mean operative duration was 145 minutes and an average volume of bleeding was about 45ml . There were no intraoperative or postoperative complications. All patients had 2 6 bowel movements per day without soiling during a period of 1 4 months' follow up.Conclusions This procedure is safe and effective . The long term results should be followed up.
出处
《中华小儿外科杂志》
CSCD
北大核心
2001年第1期21-23,共3页
Chinese Journal of Pediatric Surgery
