Vorob'ev G I, Zhuchenko A P, Neshitov S P
Vestn Khir Im I I Grek. 1980 Apr;124(4):28-32.
Among 100 patients subjected to a complex examination 44 were found to have Hirschsprung's disease. Operation was fulfilled in 37 patients. Resection of dilated portions of the colon can not be considered to be a radical intervention. With the morphological features of Hirschsprung's disease in adults taken into account, Duhamel's operation is recommended as a readical operation. In patients with a pronounced decompensation of the colon accompanied by ileus the treatment should consist of many steps. In some cases the conservative treatment might be performed under conditions of dispensary observation of the patient.
在接受全面检查的100名患者中，发现44例患有先天性巨结肠症。37例患者接受了手术。不能将结肠扩张部分的切除视为根治性干预。考虑到成人先天性巨结肠症的形态学特征，建议采用杜哈梅尔手术作为根治性手术。对于伴有肠梗阻的结肠明显失代偿患者，治疗应包括多个步骤。在某些情况下，保守治疗可在对患者进行门诊观察的条件下进行。
