先天性巨结肠经肛门直肠拖出术的并发症

Complications of endorectal pull-through for Hirschsprung's disease.

作者信息

Tariq G M, Brereton R J, Wright V M

机构信息

Hospitals for Sick Children, London, England.

出版信息

J Pediatr Surg. 1991 Oct;26(10):1202-6. doi: 10.1016/0022-3468(91)90335-q.

DOI:10.1016/0022-3468(91)90335-q

PMID:1779330

Abstract

In 10 years, 57 infants with Hirschsprung's disease underwent endorectal pull-through (ERPT). Postoperatively, 3 patients died. Of the 44 survivors with an intact endorectal anastomosis aged more than 3 years, 23 (52%) had an excellent result, and of the 28 children more than 5 years old, 23 (82%) had a satisfactory result. Of the 53 known survivors of all ages, 18% suffered from diarrhea with intermittent incontinence and 5 (9.4%) had undergone a Duhamel procedure within 4 years of ERPT.

摘要

10年间，57例患有先天性巨结肠症的婴儿接受了经肛门直肠拖出术（ERPT）。术后，3例患者死亡。在44例年龄超过3岁且直肠内吻合口完整的幸存者中，23例（52%）效果极佳；在28例5岁以上儿童中，23例（82%）效果令人满意。在所有年龄段已知的53例幸存者中，18%患有腹泻伴间歇性大便失禁，5例（9.4%）在ERPT术后4年内接受了杜哈梅尔手术。