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先天性巨结肠非手术治疗研究进展
引用本文:王吉,李智. 先天性巨结肠非手术治疗研究进展[J]. 临床小儿外科杂志, 2022, 21(2): 186-190
作者姓名:王吉  李智
作者单位:华中科技大学同济医学院附属同济医院小儿外科,武汉 430030
基金项目:国家自然科学基金项目(81400579)。
摘    要:先天性巨结肠(Hirschsprung's disease,HSCR)是一种常见的先天性消化道发育畸形,以病变肠管神经节细胞缺乏为特征,发病率约1/5000,男女比例约4:1.HSCR的治疗主要包括手术治疗和非手术治疗,目前通过手术切除无神经节细胞肠段及移行段仍为HSCR的主要治疗方式.近年来,国内外学者对HSCR非手...

关 键 词:Hirschsprung病/治疗  Hirschsprung病/外科学  扩肛  灌肠  方剂  肉毒素  生物反馈  干细胞治疗

Recent advances of non-surgical treatment of Hirschsprung's disease
Wang Ji,Li Zhi. Recent advances of non-surgical treatment of Hirschsprung's disease[J]. Journal of Clinical Pediatric Surgery, 2022, 21(2): 186-190
Authors:Wang Ji  Li Zhi
Affiliation:(Department of Pediatric Surgery,Affiliated Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China)
Abstract:As a congenital bowel disorder,Hirschsprung's disease(HSCR)is characterized by the absence of intestinal ganglion cells with a prevalence of 1/5000 and a male-to-female ratio of 4:1.Its treatment options include surgery and non-surgical measures.The major treatment remains surgical resection by removing ganglion-free intestine and transitional segments.Domestic and foreign scholars actively exploring non-surgical option have concluded that it plays an important role in resolving defecation problems before and after operation.This review summarized non-surgical option of HSCR from the aspects of anal dilation and enema,traditional Chinese medicine,botulinum toxin injection,biofeedback and stem-cell therapies.
Keywords:Hirschsprung Disease/TH  Hirschsprung Disease/SU  Anal Dilatation  Enema  Chinese Medical Formula  Botulinum Toxin  Biofeedback Therapy  Stem-cell Therapy
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