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目的 探讨新生儿期先天性巨结肠的根治性手术方法和临床效果。方法 对 14例已证实的新生儿先天性短段型、常见型巨结肠行I期经肛门先天性巨结肠根治术。结果 全组手术顺利 ,无死亡、无术中、术后短期并发症 ,平均手术时间 10 0min(90～ 12 0min) ,平均出血 15ml,术后随访 1～ 30个月均无排便不良 ,日排便 2～ 4次/d ,无污粪。结论 该手术效果满意 ,且手术创伤小 ,手术时间短 ,切口隐蔽 ,并降低了术后并发症 ,病人家属易于接受。
Objective To investigate the radical surgical methods and clinical effects of neonatal Hirschsprung’s disease. Methods 14 cases of congenital short segment of the newborn have been confirmed, the common type of megacolon I by anal Hirschsprung’s radical surgery. Results The whole operation was smooth, no death, no intraoperative and postoperative short-term complication. The average operation time was 10 0min (90-12o min) and mean bleeding was 15ml. There was no defecation during the follow-up period of 1-30 months after operation. 2 ~ 4 times / d, no sewage manure. Conclusion The results of this operation are satisfactory, and the surgical trauma is small, the operation time is short, the incision is hidden, and the postoperative complications are reduced, and the patients’ families are easy to accept.