| 经肛门巨结肠根治手术方式的改进 |
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| 引用本文： | 张光磊,吴华哲,陈伟明,王祖耀.经肛门巨结肠根治手术方式的改进[J].临床小儿外科杂志,2013(5):408-409. |
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| 作者姓名： | 张光磊 吴华哲 陈伟明 王祖耀 |
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| 作者单位： | 福建医科大学附属泉州市妇幼保健院,儿童医院小儿外科,福建省泉州市362000 |
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| 摘 要： | 目的 探讨改良经肛门巨结肠根治术的的临床疗效及安全性. 方法 回顾性分析本院自2006-2010年采用改良经肛门巨结肠根治术治疗的68例患儿临床资料. 结果 66例患儿顽固性便秘消失,营养改善,近期无吻合口漏,无腹腔及伤口感染,远期随访无便秘复发及直肠回缩,无吻合口狭窄、污裤及便失禁,2例再发便秘,病理检查确认为巨结肠类缘性疾病,3例有小肠结肠炎. 结论 改良经肛门先天性巨结肠根治术效果满意,术后并发症少,具有较高的临床实用性和安全性.
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| 关 键 词： | 肛门 巨结肠 外科手术 |
Modified procedure of pull-though Swenson to treat Hirschsprungs discasc |
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| Institution: | ZHANG Guang-lei,WU Hua-zhe,CHEN Wei-ming( 1.Department of Pediatric Surgery, Quanzhou Children＇s Hospital Affiliate to Fujian Medical University, Fujian 362000 China;) |
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| Abstract: | Objetive To investigate the feasibility of modified pull-though Swenson to treat Hirschsprungs discasa.Methods Reviewing analysis was used in 68 cases of children,with Hirschsprungs discasc,who underwent modified pull-through Swenson.Results 66 children with pertinacious constipation recovered and their nutritional condition was improved,No anastomosis leakage and infection of abdominal cavity and incision were found in the short period follow-up,No anastomosis stenosis and incontinence were found in the longperiod follow-up,while 2 children remains constipation and 3children enterocolitis.ConcIusion The modified pull-through Swenson procedure is safe and effective,witha significantly decreased risk of complications. |
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| Keywords: | Anus Megacolon Surgical Procedures Operative |
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