摘要
目的总结先天性巨结肠微创手术的治疗经验。方法2002年5月～2006年12月47例先天性巨结肠患儿,短段型15例,常见型28例,长段型4例,23例行经肛门脱出Soave手术,24例行腹腔镜辅助下改良Soave手术。结果术后2例仍存在便秘,1例为经肛门脱出术后,1例为腹腔镜Soave术后,1例肠梗阻,1例直肠鞘内感染,2例肛门瘢痕性狭窄,40例患儿手术效果良好。结论正确应用微创手术治疗先天性巨结肠符合外科手术微创化的趋势,具有广阔的前景。
Odjective To summarize the experience of minimally invasive operation of Hirschsprung＇s disease. Method From May 2002 to Dec. 2006, 47 children with Hirschsprung＇s disease, include short segment type in 15 cases, a general segment type in 28 cases, a long segment type in 4 cases. 23 cases had been treated by Transananl one-stage Soave procedure, 24 cases had been treated by laparoscopic Soave pull- through procedure. Result 2 cases of constipation , one cases of ileus, one cases suffered infection in rectum＇s muscle sheath, 2 cases occurred stenosis of annal＇s scar, 40 cases had a good effect. Conclusion The treatment of Hirschsprung＇s disease by the minimally invasive operation exactly accord with the direction of miniaturized surgery, and that will have a good foreground.
出处
《临床小儿外科杂志》
CAS
2007年第3期24-26,共3页
Journal of Clinical Pediatric Surgery
