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[小儿先天性巨结肠术后晚期并发症的诊断与治疗]

[The diagnosis and treatment of complications in the late periods after operations for Hirschsprung's disease in children].

作者信息

Svarich V G, Baĭkov V V, Khasaev Kh M

出版信息

Vestn Khir Im I I Grek. 1991 Jun;146(6):65-8.

PMID:1668508
Abstract

On the basis of examinations of 15 children the authors consider that recurrent constipation and fecal discharges as complications of a remote postoperative period take place more frequently than incontinence of feces. One of the causes of constipation after radical operation for Hirschsprung's disease may be a long hypoganglionic zone of the distal portion of the colon. To solve the question about reoperation of children with Hirschsprung's disease the complex examination must necessarily include the determination of activity of tissue acetylcholinesterase in colon mucosa biopsies, balloon proctography, sphincterotonometry, endoscopic examination of the colon in addition to irrigography.

摘要

基于对15名儿童的检查,作者认为,作为远期术后并发症,复发性便秘和排粪比大便失禁更为常见。先天性巨结肠根治术后便秘的原因之一可能是结肠远端的低神经节区较长。为了解决先天性巨结肠患儿再次手术的问题,除了进行灌肠造影外,综合检查必须包括结肠黏膜活检中组织乙酰胆碱酯酶活性的测定、气囊直肠造影、括约肌压力测定以及结肠内镜检查。

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