Pistor G, Hofmann-von Kap-herr S
Fortschr Med. 1984 Apr 12;102(14):397-400.
For the first time morphology and function of the colon were analysed by sonography in three children with M. Hirschsprung and neuronal-intestinal dysplasia. After one year two children attained almost normalisation of colon-peristalsis in the nonaganglionic segments. A resection of the neuronal-dysplastic segments was not necessary. In one child there was seen no change of the distal colon motility. The limit of resection at operation was determined by sonographic diagnosis following observation of stimulated motility. Sonographic long-time examination in connection with medicamental stimulation of the colon allows determination on timing and kind of therapy in neuronal-intestinal dysplasia.
首次通过超声对3例患有先天性巨结肠和神经源性肠发育异常的儿童的结肠形态和功能进行了分析。一年后，两名儿童无神经节段的结肠蠕动几乎恢复正常。无需切除神经发育异常段。一名儿童远端结肠动力未见变化。手术切除范围通过观察刺激后的动力由超声诊断确定。结合药物刺激对结肠进行超声长时间检查有助于确定神经源性肠发育异常的治疗时机和治疗方式。
