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先天性巨结肠术后小肠结肠炎危险因素分析

莫优炼 胡小华 陈茂芳 段立锋 苏嘉鸿 张平锋 钟陈

中国当代医药2018,Vol.25Issue(16):105-107,3.
中国当代医药2018,Vol.25Issue(16):105-107,3.

先天性巨结肠术后小肠结肠炎危险因素分析

Analysis of risk factors of enterocolitis after congenital megacolonectomy

莫优炼 1胡小华 1陈茂芳 2段立锋 3苏嘉鸿 1张平锋 1钟陈1

作者信息

  • 1. 南方医科大学附属中山市博爱医院小儿外科,广东 中山 528408
  • 2. 南方医科大学附属中山市博爱医院麻醉科,广东 中山 528408
  • 3. 南方医科大学附属中山市博爱医院病理科,广东 中山 528408
  • 折叠

摘要

Abstract

Objective To study the risk factors of enterocolitis after congenital megacolonectomy.Methods The subjects selected for this study were 140 patients with congenital Hirschsprung's disease who had undergone surgery in our hospital from January 2013 to December 2017.They were divided the observation group(n=46) and the control group(n=94) by patients complicated or uncomplicated postoperative concurrent enterocolitis.Explore related risk factors.Results Preoperative suffering from enteritis,suffering from upper respiratory tract or lung infection,malnutrition and postoperative anastomotic leakage or stenosis,intestinal obstruction and other complications,resection of rectal mucosa and internal sphincter were congenital megacolon after enterocolitis single factor in patients;multiple factors include preoperative bowel inflammation,upper airway or lung infection,malnutrition.The differences in age,surgical age,lesion type,surgical method,and surgical resection range of the two groups were relatively poor,the difference had no statistical significance (P>0.05).Conclusion The risk factors for enterocolitis after congenital megacolon surgery include preoperative conditions, nutritional status,removal of rectal mucosa and internal sphincter is an effective measure to avoid postoperative colitis.

关键词

先天性巨结肠/手术/小肠结肠炎/危险因素

Key words

Congenital megacolon/Surgery/Enterocolitis/Risk factors

分类

医药卫生

引用本文复制引用

莫优炼,胡小华,陈茂芳,段立锋,苏嘉鸿,张平锋,钟陈..先天性巨结肠术后小肠结肠炎危险因素分析[J].中国当代医药,2018,25(16):105-107,3.

基金项目

广东省医学科学技术研究基金项目(A2017432) (A2017432)

中国当代医药

1674-4721

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