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1、脐部小切口辅助完成Soave手术治疗婴儿长段型巨结肠的临床研究发表时间：2009-9-99:15:36来源：创新医学网推荐作者：张勇李殿国王亚平陈维秀孙小兵王峰作者单位：I山东大学第二医院小儿外科2青岛市第八人民医院妇科3山东大学第二医院普外科【摘要】H的：探讨脐部小切口在婴儿长段型巨结肠根治中的应用。方法：P1顾性分析我院行脐部小切【I辅助Soave手术治疗患儿长段型巨结肠11例。结果：切除结肠长度30〜50cm,平均37.6cm；术中失血5—20mL,平均8mL：手术时间90〜140min,平均110.5min。术后3例出现肛周轻度糜烂，无宜肠回缩、吻合II痿，脐部
2、切II无感染、裂升，肠蠕动恢复时间16〜24h,平均18.7h,术后7〜I4d出院。全部病例随访3.5〜12个月，每日排便3〜7次，其中轻度污粪1例，小肠结肠炎1例，经保守治疗后好转，无肛门狭窄及粘连性肠梗阻。结论：婴儿长段型巨结肠根治术单纯性肛门拖出结肠困难，可辅加脐部小切口协助完成手术，具有损伤小、并发症少、恢复快、美容效果好、费用少等优点。【关键词]Hirschsprung病•腹部小切口•婴儿Soaveoperationcombindedwithminilaparotomyinunbilicalregionforlong-segmenttypeHirschspru
3、ng'sdiseaseofinfantsZHANGYong1,LIDian-guol,WANGYa-ping2,CHENWei-xiul,SUNXiao-bingl,WANGFeng31DepartmentofPediatricSurgery,SecondHospitalofShandongUniversity(Jinan250033,China)2DepartmentofGynecology,EighthPeople'sHospitalofQingdao(Qingdao266100,China)3DcpartmcntofGeneralSurgery,SecondHos
4、pitalofShandongUniversity(Jinan250033,China)[ABSTRACT]Objective:Toexploretheapplicationofminilaparotomyinunbilicalregionfbrlong-segmenttypeHirschsprung'sdisease.Methods:FromJan2005toDec2007,11infants(male9Jemale2)withlongsegmenttypecongenitalmegacolonweretreatedbythisoperation.Theaverage
5、ageis2.3months.Thelesionsiteslocatedatsigmoidcolonin6casesanddescendingcolonin5cases.Results:Themeanlengthofthecolonresectedwas37.6cm(30~50cm).Thcmeanoperativedurationwas110.5min(90~140min).Therewereperianalswellingandmildfeealin3caseswitlnoutrectumrecoveryandstomafistulaafteroperation.T
6、heincisioninunbilicalregionwasnotinfectedandsplitoff.Theenierocinesiarecoveredwithin18.7hours(16〜24h).Allinfantswererecoveredwithin7to14days*andallhavebeenfollowedupfor3.5monthsto12months.Thedefecationfrequencywas3〜7timesaday.Thereweremildfeealcontaminationin1caseandcolitisin1caserecover
7、edthroughconservativetreatment.Conclusions:Minilaparotomyinunbilicalregionhastheadvantageoflessinjury,fewercomplications,quickerrecovery,bettercosmeticresultandlowercostcanbeapplied.【KEYWORDS]Hirschsprung'sdisease-Mini1aparotomy•Infant先天性巨结肠(Hirschsprung'sdisease,HD)是一种常见
