目的　总结心形吻合术治疗巨结肠的经验。　方法　回顾 11年来心形吻合术治疗巨结肠的疗效 ,技术操作及改进 ,并发症的发生率和防治。　结果　 193例手术患者得到随访者 15 2例 ,早期术后并发症 15例 ,其中尿潴留 2例 ,肠炎 10例 ,吻合口狭窄 1例 ,肠梗阻 2例。晚期并发症 2 2例 ,其中肠梗阻 2例 ,便秘 5例 ,切口疝 2例 ,肠炎 6例 ,7例偶有污粪。无盆腔、腹腔伤口感染、肛门失禁和死亡。　结论　心形吻合术能明显减少术后并发症 ,提高疗效 Objective To summarize the experience of cardiac anastomosis in the treatment of megacolon. Methods The therapeutic effect, technical operation and improvement of cardiac anastomosis in treating giant megacolon during the past 11 years were reviewed. The incidence of complications and prevention and treatment were also reviewed. Results A total of 153 cases of 193 patients were followed up. There were 15 cases of early postoperative complications, including 2 cases of urinary retention, 10 cases of enteritis, 1 case of anastomotic stenosis and 2 cases of intestinal obstruction. There were 22 cases of late complications, including 2 cases of intestinal obstruction, 5 cases of constipation, 2 cases of incisional hernia, 6 cases of enteritis and 7 cases of occasional foul manure. No pelvic, abdominal wound infection, anal incontinence and death. Conclusions Cardiac anastomosis can significantly reduce the postoperative complications and improve the curative effect