摘要
目的 探讨先天性巨结肠根治术后小肠结肠炎发生的相关性,分析术后小肠结肠炎的高危因素.方法 收集2009 ～2012年先天性巨结肠及同源病根治手术治疗病例188例,根据病理诊断与手术切除范围不同分组,对比各组间术后小肠结肠炎发生率,分析术后小肠结肠炎发生的相关性.结果 先天性巨结肠与巨结肠同源病在术前小肠结肠炎发病率无明显差异（P＞0.05）,术后巨结肠同源病发生小肠结肠炎的几率明显高于先天性巨结肠（P＜0.05）;术前发生小肠结肠炎与术后发生小肠结肠炎明显相关（P＜0.05）;术中结肠切除范围和术后小肠结肠炎之间无明显相关（P＞0.05）;Soave与心形吻合方式对于术后小肠结肠炎的发生无明显相关（P＞0.05）;全结肠型巨结肠更易发小肠结肠炎.结论 术前小肠结肠炎、巨结肠同源病及全结肠型巨结肠仍然是影响术后小肠结肠炎发生的重要因素.
Objetive to assess the correlative factors of the incidence of enterocolitis after Hirschsprung disease radical operation,and identify the risk factors for postoperative enterocolitis.Methods From 2009 to 2012,a total of 188 cases with Hirachsprung disease or Hirschsprung disease allied disorders were including in this retrospective study.According to the pathological diagnosis and operative range,they were divided into four groups.The incidences of enterocolitis were compared between the 4 groups,the risk factors and postoperative enterocolitis were collected.Results There was no significant difference in preoperative enterocolitis between HD and HAD（P ＞ 0.05） ; the operative range and anastomotic methods were not correlative with postoperative enterocolitis（P ＞0.05）,but HAD and the history of preoperative enterocolitis were the risk factors for postoperative enterocolitis（P ＜0.05） ; TCA patients suffered enterocolitis more easily.Conclusions The history of preoperative enterolitis,HAD and TCA play the important roles in postoperative enterolitis.
出处
《临床小儿外科杂志》
CAS
2014年第1期16-18,25,共4页
Journal of Clinical Pediatric Surgery
关键词
巨结肠
外科手术
小肠结肠炎
Megacolon
Surgical Procedures, Operative
Enterocolitis
