新生儿和婴儿先天性巨结肠的杜哈梅尔 - 马丁手术：一期手术。
Duhamel-Martin procedure for Hirschsprung's disease in neonates and infants: one-stage operation.
作者信息
van der Zee D C, Bax N M
机构信息
Department of Pediatric Surgery, University Children's Hospital, Wilhelmina, Utrecht, The Netherlands.
出版信息
J Pediatr Surg. 1996 Jul;31(7):901-2. doi: 10.1016/s0022-3468(96)90406-6.
BACKGROUND
A retrospective study was performed to demonstrate that a one-stage Duhamel-Martin procedure is feasible for Hirschsprung's disease, even in neonates and infants.
METHODS
In a 2 1/2-year period, 32 children with Hirschsprung's disease were treated according to the method of Duhamel-Martin. In 22 of them the diagnosis had been established within the first 2 months of life.
RESULTS
Twenty-nine children did not receive a preliminary enterostomy. In the three neonates who did have a preliminary enterostomy, it was closed during the Duhamel-Martin procedure. In the last 2 years, no enterostomies have been performed.
CONCLUSION
The one-stage Duhamel-Martin procedure is now feasible in almost all children, irrespective of age and weight.
背景
进行了一项回顾性研究，以证明一期杜哈梅尔-马丁手术对于先天性巨结肠症是可行的，即使是在新生儿和婴儿中。
方法
在2年半的时间里，32例先天性巨结肠症患儿按照杜哈梅尔-马丁方法进行治疗。其中22例在出生后前2个月内确诊。
结果
29例患儿未进行初步肠造口术。3例进行了初步肠造口术的新生儿，在杜哈梅尔-马丁手术期间关闭了造口。在过去2年中，未进行过肠造口术。
结论
一期杜哈梅尔-马丁手术现在几乎对所有儿童都是可行的，无论年龄和体重如何。
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