论文部分内容阅读
目的总结先天性巨结肠类缘病的诊断与治疗效果。方法对开封市儿童医院外一科收治的27例巨结肠类缘病患儿的临床及随访资料进行回顾性分析。结果本组27例先天性巨结肠类缘病根治术前全部行钡灌肠X线检查,共有9例可见典型狭窄、扩张段;行直肠肛管测压有11例出现直肠肛管抑制反射;乙酰胆碱酯酶测定9例阳性;术后均通过病理明确诊断,3例术后仍腹胀、便秘,二次手术将回肠末端拖下与直肠吻合而治愈,余患儿均痊愈出院。结论巨结肠类缘病的术前诊断困难,临床症状酷似先天性巨结肠症状,部分患儿可保守治疗而治愈,手术切除病变肠管是有效的治疗措施,手术效果较佳。
Objective To summarize the diagnosis and treatment of Hirschsprung’s disease. Methods A retrospective analysis was conducted on the clinical and follow-up data of 27 cases of Hirschsprung’s disease patients admitted to the first department of Kaifeng Children’s Hospital. Results 27 cases of Hirschsprung’s disease were all undergone barium enema X-ray examination before operation, a total of 9 cases showed typical stenosis and dilatation segment; 11 cases of rectal anal canal manometry showed rectal anal canal inhibitory reflex; Esterase in 9 cases were positive; postoperative diagnosis by pathology were clear, 3 cases of postoperative abdominal distention, constipation, secondary surgery drag the end of the ileum and rectal anastomosis and cure, and I were discharged from the hospital. Conclusion The preoperative diagnosis of Hirschsprung’s disease is difficult. The clinical symptoms are similar to the symptoms of Hirschsprung’s disease. Some of the patients can be cured by conservative treatment. Surgical resection of the diseased bowel is an effective treatment and the operation effect is better.