摘要
目的 总结心形吻合术治疗巨结肠的经验。 方法 回顾 11年来心形吻合术治疗巨结肠的疗效 ,技术操作及改进 ,并发症的发生率和防治。 结果 193例手术患者得到随访者 15 2例 ,早期术后并发症 15例 ,其中尿潴留 2例 ,肠炎 10例 ,吻合口狭窄 1例 ,肠梗阻 2例。晚期并发症 2 2例 ,其中肠梗阻 2例 ,便秘 5例 ,切口疝 2例 ,肠炎 6例 ,7例偶有污粪。无盆腔、腹腔伤口感染、肛门失禁和死亡。 结论 心形吻合术能明显减少术后并发症 。
Objective To summarize the experince of heart shaped anastomosis operation in patients with Hirschsprung′s diaease. Methods Hirschsprung′s disease treated by heart shaped anastomosis, improvment of surgery procedure, and complications were reviewed retrospectively. Results Of 193 cases, 152 completed follow up. Early complications included urine netention (2 cases), enteritis (10), anastomosis stricture (1), and intestinal obstruction (2). Late complications (22 cases) included adhesise intestinal obstruction (2), constipation (5), incison hernia (2), enteritis (6), and occasionally stool stains (7). Neither infection in celiac, pelvic cavity and wound nor incontinence or death occurred in all patients. Conclusion Heart shaped anastomosis procedure can effectively reduce the complications coased by Hirschsprung′s disease operation and is superior to other procedures.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2002年第5期344-346,共3页
Chinese Journal of Surgery
基金
国家自然科学基金资助项目 (3 9670 746)
关键词
心形吻合术
治疗
先天性巨结肠
远期疗效
Hirschsprung disease
Gastroenterostomy
Postoperative complications
