18年经肛门拖出术治疗新生儿先天性巨结肠且未行结肠造口术的经验。
Eighteen years' experience with neonatal Hirschsprung's disease treated by endorectal pull-through without colostomy.
作者信息
So H B, Becker J M, Schwartz D L, Kutin N D
机构信息
Long Island Jewish Medical Center, Schneider Children's Hospital, New Hyde Park, NY, USA.
出版信息
J Pediatr Surg. 1998 May;33(5):673-5. doi: 10.1016/s0022-3468(98)90185-3.
METHODS
In the past 18 years, the authors have treated 84 patients with Hirschsprung's disease. Of these, 43 patients were under 1 month of age and underwent endorectal pull-through without colostomy. Some have undergone follow-up for as long as 18 years.
RESULTS
Thirty-four of these 43 (79%) newborn patients were available for follow-up. Twenty-two were totally continent. The remaining 12 have normal sphincter tone. Of the 41 patients above 1 month of age, 34 (83%) were available for follow-up. Some have undergone follow-up for as long as 18 years.
CONCLUSION
Twenty-two of this latter group (79%) have normal bowel control.
方法
在过去18年里，作者治疗了84例先天性巨结肠患者。其中，43例患者年龄在1个月以下，接受了无结肠造口术的直肠内拖出术。部分患者接受了长达18年的随访。
结果
这43例新生儿患者中有34例（79%）可供随访。22例完全能自主控制排便。其余12例括约肌张力正常。41例1个月以上的患者中，34例（83%）可供随访。部分患者接受了长达18年的随访。
结论
后一组中有22例（79%）排便控制正常。
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