摘要
目的 结合病例介绍儿童先天性巨结肠根治性手术近年来术式微创化的演变。方法 2 0 0 0年 6月～ 2 0 0 3年 6月上海儿童医学中心共收治儿童先天性巨结肠 3 9例 ,年龄 2个月～ 13岁 ,其中短段型 11例、普通型和长段型 2 8例。手术方式有直肠肌条切除术、腹腔镜辅助下巨结肠根治术、单纯经肛门结肠拖出术。结果 所有患儿术后随访时间 1个月～ 3年 ,3 6例术后效果满意 ,3例术后仍有便秘 ,与病变肠段切除不够有关。 3年来在儿童巨结肠的手术上趋于微创化 ,即由经典的开放性手术向腹腔镜和单纯经肛门拖出演变。
Objective: To introduce the utilization of the minimally invasive surgery on congenital hirschsprung′s disease in children in recent years.Methods: 39 patients with Hirschprung′s disease were treated in Shanhai Children′s Medical centre from June 2000 to June 2003. The age of the children at surgery ranged from 2 months to 13 years old.Among them, 11 cases had short segment disease, 28 cases had common or long segment disease. The operative procedures included anal/rectal myectomy, laparoscopic assisted endorectal pull?through or one?stage transanal endorectal pull?through.Results: All the cases were followed up from 1 month to 3 years. 36 patients resolved their clinical symptoms postsurgery 3 patients had postoperative constipation because the disease segment was not resected enough. During the passed three years, The utilization the minimal invasive surgery tends to treat children with hirschsprung′s disease. This procedure is evolved from traditionally open abdominal surgery to laparoscopic method or one?stage endorectal pull?through procedure.Conclusion: The clinical utilization of the minimally invasive surgery method for children with hirschsprung′s disease signifies the evolution and improvemence of the pediatric surgery procedure.
出处
《实用临床医药杂志》
CAS
2003年第5期422-424,共3页
Journal of Clinical Medicine in Practice
关键词
微创手术
儿童
先天性巨结肠
腹腔镜
mininally invasive surger
children
congenital hirschsprung′s disease
