Thepcharoennirund Somchai
Pediatric Surgical Unit, Department of Surgery, Ratchaburi Hospital, Ratchaburi 70000, Thailand.
J Med Assoc Thai. 2004 Oct;87(10):1188-92.
The principle for treatment of Hirschsprung's disease by Rehbein's procedure is to remove the aganglionic narrow segment including the dilated sigmoid colon by dissection of the upper rectum deep down into the pelvic cavity about 2 cm from peritoneal reflection and to elimination of the achalasia of internal anal sphincter by vigorous dilatation. Between August 1987 and April 2000, 73 cases of Hirschsprung's disease (50 boys and 23 girls) were operated on by Rehbein's procedure at the Pediatric Surgical Unit, Ratchaburi Hospital. The age varied from 7 months to 10 years. 55 cases showed very good results by daily stool evacuation without any help, occasional laxative or enema in 15 cases, giving laxative or enema regularly in 2 cases and no adequate bowel evacuation despite giving laxative or enema in I case. In conclusion, Rehbein's procedure is technically simple and has good results. It should be another treatment of choice for Hirschsprung's disease.
雷贝因氏手术治疗先天性巨结肠的原则是，通过将直肠上段深入盆腔距腹膜反折约2厘米处进行解剖，切除包括扩张的乙状结肠在内的无神经节狭窄段，并通过强力扩张消除肛门内括约肌失弛缓症。1987年8月至2000年4月期间，叻丕府医院小儿外科对73例先天性巨结肠患者（50例男孩和23例女孩）实施了雷贝因氏手术。年龄从7个月至10岁不等。55例患者排便情况非常好，无需任何辅助，15例偶尔需要使用泻药或灌肠，2例需定期使用泻药或灌肠，1例尽管使用了泻药或灌肠但排便仍不充分。总之，雷贝因氏手术技术操作简单，效果良好。它应成为先天性巨结肠的另一种治疗选择。
