牛奶注射硬化疗法治疗儿童直肠脱垂：30年经验
Treatment of rectal prolapse in children with cow milk injection sclerotherapy: 30-year experience.
作者信息
Zganjer Mirko, Cizmic Ante, Cigit Irenej, Zupancic Bozidar, Bumci Igor, Popovic Ljiljana, Kljenak Antun
机构信息
Department of Paediatric Surgery, Children's Hospital Zagreb, Klai eva 16, Zagreb 10000, Croatia.
出版信息
World J Gastroenterol. 2008 Feb 7;14(5):737-40. doi: 10.3748/wjg.14.737.
AIM
To evaluate the role and our experience of injection sclerotherapy with cow milk in the treatment of rectal prolapse in children.
METHODS
In the last 30 years (1976-2006) we made 100 injections of sclerotherapy with cow milk in 86 children. In this study we included children who failed to respond to conservative treatment and we perform operative treatment.
RESULTS
In our study we included 86 children and in all of the patients we perform cow milk injection sclerotherapy. In 95.3% (82 children) of patients sclerotherapy was successful. In 4 (4.7%) patients we had recurrent rectal prolapse where we performed operative treatment. Below 4 years we had 62 children (72%) and 24 older children (28%). In children who needed operative treatment we performed Thiersch operation and without any complications.
CONCLUSION
Injection sclerotherapy with cow milk for treatment rectal prolapse in children is a simple and effective treatment for rectal prolapse with minimal complications.
目的
评估牛奶注射硬化疗法在儿童直肠脱垂治疗中的作用及我们的经验。
方法
在过去30年（1976 - 2006年）里，我们对86名儿童进行了100次牛奶注射硬化治疗。本研究纳入了对保守治疗无反应而需接受手术治疗的儿童。
结果
我们的研究纳入了86名儿童，所有患者均接受了牛奶注射硬化疗法。95.3%（82名儿童）的患者硬化治疗成功。4名（4.7%）患者出现直肠脱垂复发，对此我们进行了手术治疗。4岁以下儿童有62名（72%），4岁以上儿童有24名（28%）。对于需要手术治疗的儿童，我们实施了蒂尔施手术，且无任何并发症。
结论
牛奶注射硬化疗法治疗儿童直肠脱垂是一种简单有效的治疗方法，并发症极少。
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