Schier F, Schäfer K, Waldschmidt J
Kinderchirurgie, Univ.-Klinikum Steglitz, Berlin.
Z Kinderchir. 1990 Aug;45(4):215-8. doi: 10.1055/s-2008-1042584.
From a total of 174 children treated with malrotations from 1971 to 1988, 148 could be evaluated for long-term results of surgical treatment. The various modalities of treatment were: no correction, dissection of Ladd's bands only, caecoascendopexy, Ladd's procedure and the so-called total correction. Comparing the late results in children with and without correction it was found that those without correction, i.e. without pexy, had to be reoperated in 17% of the cases, whereas the totally corrected children required reoperation in 8% of the cases only. Corrected cases needed to be admitted but not operated later because of pain, constipation, vomiting or poor weight gain in 23%, the uncorrected ones in 6%. Likewise, corrected malrotations resulted in complaints in 27% in contrast to the noncorrected ones in 9%. The conclusion is that total correction results in fewer reoperations but in more symptoms not requiring surgery.
在1971年至1988年间接受旋转不良治疗的174名儿童中，148名可对手术治疗的长期结果进行评估。治疗的各种方式包括：不矫正、仅松解Ladd束、盲肠升结肠固定术、Ladd手术以及所谓的完全矫正。比较矫正和未矫正儿童的晚期结果发现，未矫正的儿童（即未进行固定术的儿童）有17%需要再次手术，而完全矫正的儿童仅8%需要再次手术。矫正后的病例因疼痛、便秘、呕吐或体重增加不佳需要住院但无需再次手术的比例为23%，未矫正的为6%。同样，矫正后的旋转不良有27%出现不适主诉，而未矫正的为9%。结论是，完全矫正导致再次手术的情况较少，但出现更多无需手术的症状。
