经肛门改良Soave 术和经腹治疗先天性巨结肠的疗效对比研究

目的:探讨经肛门改良Soave术和经腹治疗先天性巨结肠的临床疗效。方法:对大于3岁的41例患儿(经肛门改良Soave术治疗28例,经腹治疗24例,在术后并发症和排便功能等方面进行回顾性对比分析。结果:并发症的总发生率经肛门改良Soave术明显少于经腹,HAEC发生率低于经腹组,有统计学意义。总的排便控制和大便形态方面经肛门改良Soave术优于经腹。结论:经肛门改良Soave术治疗先天性巨结肠方法可行、安全,效果优于经腹,但是术后仍有诸多并发症,特别在排便控制方面,仍需大量的病例进行长期的随访研究评估。

Hirschsprung Disease:Comparative Efficacy of Modified Soave Operation Through the Anus and Abdominal Treatment

Objective: To investigate the efficacy of modified Soave operation through the anus and abdomen in the treatment ofHirschsprung Disease(HD). Methods: 41 patients who underwent operation for HD(transanal approach,n=20; transabdominal approach,n=21) were reviewed between1995-2003.clinical outcome was assessed retrospectively. Results: Complications were lower in thetransanal approach group than transabdominal approach. The continence and thestool pattern were better in the transanal approach groupthan transabdominal approach group. Conclutions: The transanal endorectal pull-through for HD is a feasible and safe procedure. Butthere were still some complications especially for stool continent,so careful long-term follow-up is required to assess the clinical outcome.