You Position: Home > Paper
Diagnosis and surgical management for adult Hirschsprung's disease
( views:300, downloads:129 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1671-0274.2005.04.009
- Key Word:
- 先天性巨结肠;诊断;外科手术
Abstract： 目的探讨成人先天性巨结肠的诊断与外科治疗.方法回顾性分析 1992年 6月至 2004年 6月间收治的 15例成人先天性巨结肠患者的临床资料.结果 15例患者年龄 17～54岁.入院前有 9.5个月至 50.0年(平均 21.4年)的长期便秘、腹胀史;6例患者有急性腹痛史;均无脱水或营养不良表现.钡剂灌肠可见肠管狭窄段和扩张段.予以 Soave手术 2例,次全结肠切除加结肛吻合术 13例;术后所有患者排便功能优良.结论自幼长期慢性便秘史和钡灌肠检查是诊断的主要依据;结肠次全切除加结肛吻合术是安全有效的手术方式.
- [1]Ji-Cheng Li,Shi-Ping Ding,Ying Song,etc.Mutation of RET gene in Chinese patients with Hirschsprung's disease[J].2002,(6).
- [2]许戈良,王士堂,邹卫龙.成人先天性巨结肠的临床特点和误诊分析[J].2003,(11).
- [3]李方龙,陈永田.成人先天性巨结肠症的诊断和外科处理[J].2000,(5).
- [4]J M Gattuso,M A Kamm.Clinical features of idiopathic megarectum and idiopathic megacolon.[J].1997,41(1).
- [5]R H, Fishbein,J C, Handelsman,M M, Schuster.Surgical treatment of Hirschsprung's disease in adults.[J].1986,163(5).
- [6]JamesS.WuM.D.,Dr.DavidJ.SchoetzJr.M.D.,JohnA.CollerM.D.,etc.Treatment of Hirschsprung's disease in the adult[J].1995,38(6).
- [7]Raymond Reding,Jean de Ville de Goyet,Serge Gosseye,etc.Hirschsprung's disease: A 20-year experience[J].1997,32(8).