临床小儿外科杂志2024，Vol.23Issue(9)：825-829,5.DOI:10.3760/cma.j.cn101785-202209044-005
超声监测下保守治疗婴儿先天性巨结肠根治术后吻合口漏的初步探索
Conservative managements of anastomotic leak under ultrasonic monitoring for Hirschsprung's disease in infants
摘要
Abstract
Objective To summarize and share our institutional experience in the conservative manage-ments of anastomotic leak in infants under ultrasonic monitoring for Hirschsprung's disease(HD)over the last two years.Methods From January 2020 to December 2021,a HD child underwent pull-through and conserva-tive treatment was offered for anastomotic leak.Under ultrasound monitoring,anal dilatation,catheter drainage,systemic and local anti-infection and placing anal tube under local anesthesia and sedation were performed.The outcomes were summarized.Results There were 3 girls and 1 boy.The causes were recto-sigmoid segment HD(n=2),long segment HD(n=1)and total colonic aganglionosis(n=1).Operative age was(3-11)month.Anastomosis leak occurred at Day 7/15/21/50 post-operation.All external openings were located at 6 o'clock point with presacral abscess.Three cases healed at Day 34/48/72 and 1 child underwent enterostomy.Function was satisfactory without stricture or sinus tract formation.Conclusions HD with postoperative anastomotic leak and local abscess formation may be managed conservatively under ultrasonic monitoring.Non-responsive cases should be operated as soon as possible.关键词
Hirschsprung病/手术后并发症/吻合口漏/保守治疗/治疗结果/婴儿Key words
Hirschsprung Disease/Postoperative Complications/Anastomotic Leak/Conservative Treatment/Treatment Outcome/Infant引用本文复制引用
程天然,马亚,李颀..超声监测下保守治疗婴儿先天性巨结肠根治术后吻合口漏的初步探索[J].临床小儿外科杂志,2024,23(9):825-829,5.基金项目
北京市属医院科研培育项目(PX2020054) Beijing Municipal Hospital Research & Cultivation Project(PX2020054) （PX2020054）
