摘要
Abstract
ObjectiveTo study the clinical effect of transanal rectosigmoidectomy for Hirschsprung's disease and modiifed Duhamel radical operation on the infant with congenital megacolon.Method136 cases of congenital megacolon infants treated with transanal rectosigmoidectomy for Hirschsprung's disease were included in observation group and 64 cases of congenital megacolon infants treated with modified Duhamel radical operation were included in control group. The preparation time, average operation time, intraoperative blood loss, duration of fever, average length of stay, postoperative fasting time, time of perioperative antibiotic usage, and the postoperative complications were observed and compared between the two groups.Result The preparation time, average operation time, intraoperative blood loss, duration of fever, average length of stay, postoperative fasting time, time of perioperative antibiotic usage of observation group were lower than control group (P<0.05). The rate of postoperative complications, such as enterocolitis, intestinal obstruction, fouling dung and fecal incontinence, infection of incision of observation group were lower than control group (P<0.05). The rate of enterocolitis and constipation in infants with rectal sheath after small incision was higher.Conclusion Compared with modiifed Duhamel radical operation, transanal rectosigmoidectomy for Hirschsprung's disease has smaller trauma, less blood loss, postoperative rapid recovery, shorter hospitalization time, less postoperative complications and lower recurernce rate, is worth of popularizing in clinical application and intraoperative should be fully open sheath after rectum as far as possible to reduce the incidence of postoperative complications.关键词
先天性巨结肠/经肛门巨结肠根治术/改良Duhamel根治术Key words
Congenital megacolon/Transanal rectosigmoidectomy for Hirschsprung's disease/Modiifed Duhamel radical operation
