Molander M L, Bergdahl S, Husberg B
Department of Paediatric Surgery, Karolinska Institute, St Görans Hospital, Stockholm, Sweden.
Z Kinderchir. 1989 Dec;44(6):348-51. doi: 10.1055/s-2008-1043271.
At the Department of Paediatric surgery in Stockholm the choice of operative method for Hirschsprung's disease has since 1975 been endorectal pull-through. In 1985 some modifications were introduced, i.e. anal approach of the mucosal dissection, resection of the internal anal sphincter, total parenteral nutrition and fewer colostomies. Thirteen children treated accordingly have been compared to children treated before 1985. It was found that the children gained normal bowel habits earlier and had fewer postoperative problems than the children operated before introduction of the technical modifications.
自1975年以来，斯德哥尔摩小儿外科对先天性巨结肠症的手术方法选择一直是经肛门直肠拖出术。1985年引入了一些改进措施，即经肛门进行黏膜剥离、切除肛门内括约肌、全胃肠外营养以及减少结肠造口术。将13名接受相应治疗的儿童与1985年之前接受治疗的儿童进行了比较。结果发现，与采用这些技术改进措施之前接受手术的儿童相比，这些儿童更早养成了正常的排便习惯，术后问题也更少。
