直肠肌部分切除在便秘治疗中的探讨

目的：探讨直肠肌部分切除治疗顽固性便秘的适应证，手术方法及疗效。方法：经肛门直肠肌部分切除术，治疗便秘患儿64例。其中先天性短段型巨结肠（HD）36例；HD根治术后便秘复发10例；乙状结肠冗长症7例；特发性便秘11例。结果：随访38例（60％），随访时间最长7．5年，最短2个月，平均26．4个月。疗效满意，能自行排便32例（88％）；欠满意，偶而需要辅助方法排便2例（5．2％）；疗效差，便秘复发4例（10．5％）。结论：本手术方法简单，容易掌握，损伤小，并发症少，效果好。

Transanal approach rectal muscle partial resection for treating constipation in children

Objective To study indication,precedure and efficacy of transanal approach rectal muscle partial resection for treating constipation in children.Methods A total of 64 children with constipation underwent transanal approach rectal muscle partial resection for treating constipation.Causes of constipation were included short-segment Hirschsprung disease (HD) in 36,recurrence after HD radical resection in 10,redundant sigmoid colon in 7 and idiopathic constipation in 11.Results 33 (60%) of all 64 children were followed up for 2 to 99 months (mean 26.4 months).Of these patients,satisfactory result was achieved in 32 (88%),improved in 2 (5.2%) and poor result in 4 (10.5%).Conclusion Transanal approach rectal muscle partial resection is a simple,easy,and effective method in the treatment of constipation in children with few complication.