摘要
目的探讨双吻合器在先天性巨结肠症一期切除术中应用的可行性和临床效果。方法回顾性分析总结2003年6月至2009年6月用双吻合器为30例先天性巨结肠症患儿实施一期根治性切除术的治疗情况。结果30例手术均获成功，无手术死亡。平均手术时间120min，吻合器中心杆近远结直肠圈，病检均找到神经节细胞。并发吻合口瘘2例，均非手术治愈。切口裂开1例，肺部感染2例，均治愈，平均住院8d，平均随访时间28个月，术后排便次数2～3次／d，腹胀消失，进食情况良好。结论应用双吻合器行先天性巨结肠症一期根治切除吻合术，操作简单，术时短，恢复快，并发症发生率低，临床疗效满意。
Objective To assess the feasibility and efficacy of the double stapling technique in one-stage resection of Hirschsprung＇s disease.Methods A retrospective analysis was made of the double stapling technique in treatment of 30 patients with Hirschsprung＇s disease from June 2003 to June 2009.Results The 30 patients were operated on successfully and there was no peri-operative death.The average time for the operation was 120 minutes,and normal ganglion cells were found pathologically in the resected distal and proximal colorectal circles.Complications including anastomotic leakage were observed in 2 patients.Incision dehiscence occurred in 1 patient and pulmonary infection in 2 patients;but these patients were recovered.The average time for hospital stay was 8 days.The average follow-up time after operation was 28 months,and all patients defecated 2-3 times a day.Abdominal distention disappeared.Conclusions The double stapling technique in one-stage treatment of Hirschsprung＇s disease is simple with a shorter operation time.The patient can recover quickly after the operation with a lower incidence of complications.
出处
《中华普外科手术学杂志（电子版）》
2010年第2期39-40,共2页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
巨结肠
结肠切除术
外科缝合器
Hirschsprung＇s disease Colectomy Surgical staplers
