| 刘鸿坚1 杨传民2 祁泳波3 王千3 李友3.经肛门改良Soave 术和经腹治疗先天性巨结肠的疗效对比研究[J].,2011,11(11):2135-2137 |
| 经肛门改良Soave 术和经腹治疗先天性巨结肠的疗效对比研究 |
| Hirschsprung Disease：Comparative Efficacy of Modified Soave OperationThrough the Anus and Abdominal Treatment |
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| DOI： |
| 中文关键词: 先天性巨结肠 经肛 经腹 随访 |
| 英文关键词: Hirschsprung,s disease Transanal endorectal pull-through Transabdominal pull- through Follow-up |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨经肛门改良Soave 术和经腹治疗先天性巨结肠的临床疗效。方法：对大于3 岁的41 例患儿(经肛门改良Soave 术
治疗28 例，经腹治疗24 例，在术后并发症和排便功能等方面进行回顾性对比分析。结果：并发症的总发生率经肛门改良Soave 术
明显少于经腹，HAEC 发生率低于经腹组,有统计学意义。总的排便控制和大便形态方面经肛门改良Soave 术优于经腹。结论：经
肛门改良Soave 术治疗先天性巨结肠方法可行、安全，效果优于经腹，但是术后仍有诸多并发症，特别在排便控制方面，仍需大量
的病例进行长期的随访研究评估。 |
| 英文摘要: |
| Objective: To investigate the efficacy of modified Soave operation through the anus and abdomen in the treatment of
Hirschsprung Disease(HD). Methods: 41 patients who underwent operation for HD(transanal approach,n=20; transabdominal approach,
n=21) were reviewed between1995-2003.clinical outcome was assessed retrospectively. Results: Complications were lower in the
transanal approach group than transabdominal approach. The continence and thestool pattern were better in the transanal approach group
than transabdominal approach group. Conclutions: The transanal endorectal pull-through for HD is a feasible and safe procedure. But
there were still some complications especially for stool continent,so careful long-term follow-up is required to assess the clinical outcome. |
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