临床小儿外科杂志Issue(4)：298-301,4.DOI:10.3969/j.issn.1671-6353.2014.04.010
疑似全结肠巨结肠回肠造瘘术后的二期手术策略
Strategy for the second stage operation after ileostomies for suspected TCA
李颀 1李龙 1姜茜 1孔赤寰 1魏延栋 1闫育淳 1萧萍1
作者信息
- 1. 北京协和医学院研究生院，首都儿科研究所外六病房普外专业 北京市，100020
- 折叠
摘要
Abstract
Objetive To investigate the treatment procedure and the strategy for the second stage opera-tion for children who had undergone ileostomy due to suspected TCA. Methods Review retrospectively the 22 cases of suspected TCA after ileostomy diagnosed and treated in our hospital from January 201 2 to June 201 3. The patients’mean age was 5 .8 months (They ranged in age from 3 to 1 3 months.)The patients all underwent radiograph and anorectal manometry 24 hours after receiving gastrointestinal radiography,and then received multipoint biopsy in ileocolon during their operations and rapid frozen section examination.The following sur-gery program would then be made according to the results of the examination. Results 1 1 cases were total colonic aganglionsis.2 cases were long-segment HD.1 case was short-segment HD.All of them underwent radical macrosigmoid operation.Other 8 cases were normal,therefore,they underwent stoma closure.All the patients recovered well. Conclusion Before operation,the patients’distal colonic function should be evalua-ted.It is advisable to do ileocolic multipoint seromuscular layer biopsy during operation to help make the fol-lowing surgery program.关键词
Hirschsprung病/回肠造口术/策略,实验性Key words
Hirschsprung Disease/Ileostomy/Games,Experimental引用本文复制引用
李颀,李龙,姜茜,孔赤寰,魏延栋,闫育淳,萧萍..疑似全结肠巨结肠回肠造瘘术后的二期手术策略[J].临床小儿外科杂志,2014,(4):298-301,4.
