首页 | 本学科首页   官方微博 | 高级检索  
     

先天性巨结肠术后便秘复发再手术19例
引用本文:兰梦龙,曾纪晓,徐晓钢,刘斐,陶波圆,吴强,何小兵,柴成伟,林玉珍. 先天性巨结肠术后便秘复发再手术19例[J]. 临床小儿外科杂志, 2021, 20(3): 230-235
作者姓名:兰梦龙  曾纪晓  徐晓钢  刘斐  陶波圆  吴强  何小兵  柴成伟  林玉珍
作者单位:国家儿童区域医疗中心,广州医科大学附属广州市妇女儿童医疗中心,广东省广州市,510120
基金项目:国家自然科学基金(编号:82070528);广东省自然科学基金(编号:2018A030313570);先天性巨结肠发病机制及转归预后前瞻性队列研究(编号:ChiCTR-eoc-17013386)。
摘    要:目的 总结先天性巨结肠根治术后因便秘接受再次手术的原因 、手术方式及预后.方法 回顾性分析广州市妇女儿童医疗中心胃肠外科2016年7月至2019年7月收治的19例行巨结肠根治术后因便秘复发保守治疗无效而再次手术患者的临床资料.便秘复发原因:病变肠管切除不足(47.4%)、获得性无神经节细胞症(31.6%)、机械性梗阻(...

关 键 词:先天性巨结肠/外科学  便秘  复发  再手术

Redo pull-through for Hirschsprung's disease with recurrent postoperative constipation
Lan Menglong,Zeng Jixiao,Xu Xiaogang,Liu Fei,Tao Boyuan,Wu Qiang,He Xiaobing,Chai Chengwei,Lin Yuzhen. Redo pull-through for Hirschsprung's disease with recurrent postoperative constipation[J]. Journal of Clinical Pediatric Surgery, 2021, 20(3): 230-235
Authors:Lan Menglong  Zeng Jixiao  Xu Xiaogang  Liu Fei  Tao Boyuan  Wu Qiang  He Xiaobing  Chai Chengwei  Lin Yuzhen
Affiliation:(National Children's Regional Medical Center,Guangzhou Women&Children's Medical Center,Guangzhou Medical University Guangzhou,510120,China)
Abstract:Objective To explore the causes,surgical approaches and prognosis of recurrent postoperative constipation after surgery for Hirschsprung's disease(HSCR).Methods Clinical data were analyzed retrospectively for 19 children who had undergone redo pull-through procedure for postoperative constipation of HSCR from July 2016 to July 2019.The causes for recurrent constipation included residual aganglionic segments(47.4%),acquired aganglionosis(31.6%),mechanical obstruction(15.7%)and motility disorder(5.3%).Reoperative approaches included Soave&Deloyers(n=9),laparoscopic assisted Swenson-like&Deloyers(n=4),laparoscopic assisted Soave(n=3),Soave(n=2),laparoscopic assisted Soave&Deloyers(n=1).Four cases underwent enterostomy for severe intestinal distension.The follow-up period was 18-54 months.Results All of them could defecate spontaneously after reoperation.The major complications were soiling(n=3,15.7%)and enterocolitis(n=1,5.3%).Conclusion The major causes for recurrent constipation of HSCR are residual aganglionic segments and acquired aganglionosis after pull-through procedure.After meticulous planning and reoperation,redo pull-through is both feasible and safe for HSCR.The short-term reoperative outcome is satisfactory.
Keywords:Hirschsprung Disease/SU  Constipation  Recurrence  Reoperation
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号