经肛门改良 Soave 手术治疗小儿先天性巨结肠

摘要

目的：探讨经肛门后正中切开直肠肌鞘改良 Soave 巨结肠根治术治疗先天性巨结肠的临床疗效。方法收集2003年1月至2014年2月我们经肛门后正中切开肌鞘行改良 Soave 术治疗的72例先天性巨结肠患儿临床资料。对手术时间、术中出血量、术后并发症、肛门排便功能进行分析。结果72例中，除3例并发肠炎（经保守治疗后痊愈）外，其他均效果良好。结论经肛门后正中切开改良 Soave 术是治疗小儿先天性巨结肠的有效方法。主要用于短段型和常见型。具有创伤小、恢复快、美观、术后并发症少等优点。%Objetive To explore the clinical effect of transanal midline incision muscular sheath im-provement soave operation through cutting the middle of the posterior wall of the rectum muscle sheath.Meth-ods A retrospective analysis was made on the 72 patients undergone modified transanal soave treatment of Hir-schsprung in our hospital from Jan.2003 to Feb.2014 .The operative time,blood loss,postoperative complica-tions,bowel function were all analyzed. Results 72 cases except three appeared enteritis and cured by con-servative treatment,others have good results.Conclusions The median-cut improvement anal Soave is an ef-fective treatment for Hirschsprung's Diseas with less trauma,quicker recovery,less post operative complications. The operation is mainly for short-segment type and common type.