经肛门I期先天性巨结肠根治术临床观察

目的 探讨经肛门I期先天性巨结肠根治术的治疗方法和临床效果。方法 对12例已证实为短段型或普通型先天性巨结肠患儿行经肛门I期先天性巨结肠根治术。年龄3月至5岁，平均1．8岁。结果 全组手术顺利，无死亡。术后1周左右出院，随访半年，术后有1例出现轻度排便困难，经保守治疗痊愈。有3例出现不同程度的污粪，3-6月后痊愈。无严重并发症，生长发育良好。结论 经肛门I期巨结肠根治术适用于患短段型或普通型先天性巨结肠症的婴幼儿，手术创伤小，不需开腹，合并症少、手术时间短，效果满意。

Clinical observation of transanal one-stage endorectal pull-through for hirschsprung's disease

Objective To study the clinical effect of transanal one stage endorectal pull-through for Hirschspru g s disease. Methods Transanal one stage endorectal pull-through procedures were performed in 12 infants and children, whose diagnoses were confirmed for short-segment type or common type of Hirschsprung＇s disease. Their age was ranging from 3months to 5 years, averaging to 1.8 years. Results The operative procedures were successful and no 1 case died. Discharge was at about one week after-operatlon. Folow-up 6-months, only 1 case had slight difficult defecation, and fully recovered with conservaative treatment, 3 cases had different degree of dirty defecation, and were cured after 3～6 months. No severe complication was observed, and all cases were recovered with fine growth. Conclusions Transanal one stage endorectal pull-through was suitable for infants and children with short-segment type or common type of Hirschsprung＇s disease. This procedure has smaller trauma, faster recovery, with safe and shorter operative time.