先天性巨结肠症行斯文森手术的长期预后、结肠动力及括约肌功能：单中心20年346例经验
Long-term outcome, colonic motility, and sphincter performance after Swenson's procedure for Hirschsprung's disease: a single-center 2-decade experience with 346 cases.
作者信息
Zhang Shu-Cheng, Bai Yu-Zuo, Wang Wei, Wang Wei-Lin
机构信息
Department of Pediatric Surgery, The Second Affiliated Hospital, China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, China 110004.
出版信息
Am J Surg. 2007 Jul;194(1):40-7. doi: 10.1016/j.amjsurg.2006.10.018.
BACKGROUND
The aim of this study is to explore the long-term outcome and the colon and sphincter function in children undergoing the Swenson's operation for Hirschsprung's disease (HD).
METHODS
Three hundred forty-six children (266 males and 80 females) undergoing Swenson's operation for HD for 8 to 20 years were followed up. Barium enema and defecography, total and segmental colonic transit time with the simplified radioopaque markers, and the anorectal vector manometry were used.
RESULTS
Stooling patterns were fair in most patients, and the functional examinations were abnormal in few cases.
CONCLUSIONS
The long-term outcome is satisfactory in most of the children undergoing the Swenson's operation for HD, but it is still not as good as what the surgeons have expected. This is probably because of the abnormal colonic motility and/or the dysfunctions of the internal anal sphincter.
背景
本研究旨在探讨接受斯文森手术治疗先天性巨结肠（HD）的儿童的长期预后以及结肠和括约肌功能。
方法
对346例接受斯文森手术治疗HD 8至20年的儿童进行随访。采用钡灌肠和排粪造影、简化不透X线标志物测定全结肠和节段性结肠转运时间以及肛门直肠向量测压法。
结果
大多数患者排便模式尚可，少数病例功能检查异常。
结论
大多数接受斯文森手术治疗HD的儿童长期预后良好，但仍不如外科医生预期的那样好。这可能是由于结肠动力异常和/或肛门内括约肌功能障碍所致。
Zotero 插件