經(jīng)肛門改良SoaveⅠ期巨結(jié)腸根治術(shù)后直腸肛門測壓及排便功能研究.pdf

1、遵義醫(yī)學(xué)院碩士學(xué)位論文經(jīng)肛門改良SoaveⅠ期巨結(jié)腸根治術(shù)后直腸肛門測壓及排便功能研究姓名：金祝申請學(xué)位級別：碩士專業(yè)：小兒外科指導(dǎo)教師：劉遠(yuǎn)梅20100501遵義醫(yī)學(xué)院頌I：學(xué)位論義絳H1門改良SoatveI期J結(jié)腸恨治術(shù)厄直腸HTI’J測限及排便功能研究StudyofanalrectalpressuremeasurementandfunctionofdefecationafterimprovementtransanalSoaveon

2、e—stageendorectalpull—throughprocedureforHirschsprung’SdiseasePostgraduateJINZhuTutorProfLIU砌anmeiABSTRACTObjective：TostudythechangeofanalrectalpressureanddefecationfunctionafterimprovementtransanalSoaveonestageendorecta

3、lpull—throughprocedureforHirschsprung’SdiseaseMethods：FromJanuary2007toJanuary2010，51patientswerediagnosedasHirschsprung’Sdiseaseandsurgicaltreatmented，and49casesofthemwerefollowed—up34casesacceptedtheimprovementtransana

4、lSoaveonestageendorectalpullthroughprocedureforHirschsprung’Sdisease，including27casesofconlmontype，6casesofshortsegmenttype，1caseoflongsegmenttype，andtheiragefrom1monthto64yearsold，averageof15yearsoldIncontrast，15patient

5、sacceptedlaparotomySoaveprocedure，including9casesofcommontype，5casesofshortsegmenttype，1caseoflong—segmenttype，andtheiragefrom35yearsto10yearsold，averageof49yearsoldInaddition，20childrenwithnormaldefecationwhohadnotgastr

6、ointestinaldiseaseforthecontrolgroupAllpatientswhowerefollowedupwereacceptedtherectalanalmanometryandaskedaboutdefecation，includingthedailyfrequencyofdefecation，constipation，fecalincontin一@neecrissumsoiling，，whethertouse

7、laxativeandaffectthedailycommunitylifeItwascomparedtothechangeofanalrectalpressureandtheinfluenceofdefecationfunctionofthesetwopostoperativegroupsin6monthsand12monthsResults：Aftersurgery6months，theresultoftheevaluationof

8、analfunctionof34patientswhoacceptedtheimprovementtransanalSoaveonestageendorectalpullthroughprocedureforHirschsprung’Sdisease：20weregradedasgood，11weregradedasfair，2weregradedpoor1WaS黟adedasbadgoodrateis9117％Incontrast，t