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双吻合器在先天性巨结肠症一期切除吻合术的应用
引用本文:耿协强,陈辉,凡庆东,唐言华,田忠,王耀鹏.双吻合器在先天性巨结肠症一期切除吻合术的应用[J].中华普外科手术学杂志(电子版),2010,4(2):39-40.
作者姓名:耿协强  陈辉  凡庆东  唐言华  田忠  王耀鹏
作者单位:解放军第59 医院成都军区腹部外科中心,云南开远,661600
摘    要:目的探讨双吻合器在先天性巨结肠症一期切除术中应用的可行性和临床效果。方法回顾性分析总结2003年6月至2009年6月用双吻合器为30例先天性巨结肠症患儿实施一期根治性切除术的治疗情况。结果30例手术均获成功,无手术死亡。平均手术时间120 min,吻合器中心杆近远结直肠圈,病检均找到神经节细胞。并发吻合口瘘2例,均非手术治愈。切口裂开1例,肺部感染2例,均治愈,平均住院8 d,平均随访时间28个月,术后排便次数2~3次/d,腹胀消失,进食情况良好。结论应用双吻合器行先天性巨结肠症一期根治切除吻合术,操作简单,术时短,恢复快,并发症发生率低,临床疗效满意。

关 键 词:巨结肠  结肠切除术  外科缝合器

Double stapling technique used in one-stage operative treatment of Hirschsprung's disease
Authors:GENG Xie-qiang  CHEN Hui  FAN Qing-dong  TANG Yan-hua  TIAN Zhong  WANG Yao-pengAbdominal Surgery Center of Chengdu Military Comm  th Hospital of PLA  Kaiyuan  China
Affiliation:GENG Xie-qiang,CHEN Hui,FAN Qing-dong,TANG Yan-hua,TIAN Zhong,WANG Yao-peng.Abdominal Surgery Center of Chengdu Military Command,59th Hospital of PLA,Kaiyuan 661600,China
Abstract:Objective To assess the feasibility and efficacy of the double stapling technique in one-stage resection of Hirschsprung's disease.Methods A retrospective analysis was made of the double stapling technique in treatment of 30 patients with Hirschsprung's disease from June 2003 to June 2009.Results The 30 patients were operated on successfully and there was no peri-operative death.The average time for the operation was 120 minutes,and normal ganglion cells were found pathologically in the resected distal and ...
Keywords:Hirschsprung's disease  Colectomy  Surgical staplers  
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