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目的探讨顺时针旋转结肠圈在先天性巨结肠根治术中的应用和疗效。方法回顾性分析2009年6月—2012年11月收治的12例扩张段延长至横结肠的先天性巨结肠患儿的临床资料,所有病例均彻底切除病变肠管,通过沿顺时针方向旋转结肠圈的方式重建结肠通路,进行巨结肠根治术(改良Soave术),对治疗效果进行总结和评价。结果 12例巨结肠根治术均手术成功,未出现无法吻合而造瘘或术后结肠回缩现象,排便功能良好,术后无便秘复发,近中期随访效果良好。结论顺时针旋转结肠圈治疗先天性巨结肠手术对肠功能影响小,术后恢复快,效果好,并发症少,值得临床推广应用。
Objective To investigate the application and efficacy of clockwise rotation of the colon loop in the treatment of Hirschsprung’s disease. Methods The clinical data of 12 children with congenital megacolon extended to transverse colon were retrospectively analyzed from June 2009 to November 2012. All the patients were completely removed the diseased bowel by rotating the colon in the clockwise direction Methods to rebuild the colon access, radical gastrectomy (modified Soave surgery), the treatment effect summary and evaluation. Results All of the 12 cases of Hirschsprung radiculotomy were operated successfully without fistula or postoperative colon retraction. The bowel function was good and no constipation was recurred after operation. Conclusion Rotating the colon circle clockwise to treat Hirschsprung’s disease has little effect on intestinal function, rapid recovery after operation, good effect and few complications, which is worthy of clinical application.