临床小儿外科杂志2024，Vol.23Issue(4)：395-400,6.DOI:10.3760/cma.j.cn101785-202304044-018
经典型先天性巨结肠手术时机与术前肠道管理的研究进展
Research advances on operative timing and preoperative bowel management of classic Hirschsprung disease
摘要
Abstract
As one of the most common defecation disorders in children,Hirschsprung disease(HSCR)is characterized by an absence of intestinal ganglion cells.Its major treatment is surgical removal of involved in-testine.With rapid advancement of medical technology and evolving concepts of diagnosis and therapy in recent years,about 80-90％of patients may be diagnosed during neonatal period.However,timing of pull-through surgery after a definite diagnosis has remained controversial and it is often delayed after neonatal period.Time from diagnosis to pull-through surgery and standardized bowel management are required to relieve distal intesti-nal obstruction,maintain bowel movements,improve nutrition and prevent an onset of Hirschsprung disease-as-sociated enterocolitis(HAEC).This review focused upon timing of HSCR pull-through surgery,proper preoper-ative intestinal management and selecting protocols.关键词
先天性巨结肠/外科手术/围手术期医护/灌肠疗法/肠道管理Key words
Hirschsprung Disease/Surgical Procedures,Operative/Perioperative Care/Enema Thera-py/Bowel Mangement引用本文复制引用
路航,唐杰,唐维兵..经典型先天性巨结肠手术时机与术前肠道管理的研究进展[J].临床小儿外科杂志,2024,23(4):395-400,6.基金项目
国家自然科学基金项目(81801496) National Natural Science Foundation of China(81801496) （81801496）
