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目的:探索实行手术是根治新生儿先天性巨结肠的方法。意义:总结儿科手术治疗先天性巨结肠的工作经验。方法:收集我院本科室自2008年10月至2012年10月收治的先天性巨结肠患者44例。其中,一期手术根治21例,二期手术根治23例,术后收集先天性巨结肠患儿的治疗情况并进行分析。结果:一期手术,3例出现结肠回缩,重新手术;一例术后发生感染,给予抗感染治疗后康复;二期手术23例,3例病情较重,造瘘术后结肠回复基本功能。结论手术是根治新生儿先天性巨结肠的唯一方法,手术中须清洁肠道,手术前后给予抗菌抗感染药物支持,降低术后感染的发生。
Objective: To explore the implementation of surgery is to cure neonatal Hirschsprung’s method. Significance: Summary of pediatric surgical treatment of Hirschsprung’s work experience. Methods: Forty-four patients with Hirschsprung’s disease who were admitted to our hospital from October 2008 to October 2012 were collected. Among them, 21 cases were treated by first-stage operation, 23 cases were cured by second-stage operation, and the treatment of children with Hirschsprung’s disease was collected and analyzed. Results: In the first stage of surgery, 3 cases had colonic retraction and reoperation. One case had postoperative infection and recovered after anti-infective therapy. The second stage operation was performed in 23 cases and the three cases were in severe condition. The colon was restored after the operation. Conclusion Surgery is the only way to cure neonatal Hirschsprung’s disease. The intestine should be cleaned during operation. Antimicrobial anti-infective drugs should be given before and after surgery to reduce the incidence of postoperative infection.