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Updated: Feb 17, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
在杜哈梅尔手术后的直肠变化和临床结果
Gokhan Demirtas1, Gunay Ekberli2, Huseyın Tugrul Tiryaki3
1Department of Pediatric Urology, Ministry of Health Ankara Sincan Government Hospital, Ankara 06934, Cankaya, Türkiye.
长期跟踪对那些接受了希尔施普朗格外科手术的患者.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 阳门生理学 阳门生理学
背景情况:
- 希尔施普朗格病 (HD) 手术通常会产生良好的结果,但在一些患者中会出现持续性肠道功能障碍.
- 有限的研究比较了HD手术后的早期与晚期临床结果.
研究的目的:
- 为了评估患有HD的杜哈梅尔手术 (DO) 后患者的异肠功能和临床结果随年龄的变化.
主要方法:
- 来自医院记录的早期和中期临床数据的回顾性审查.
- 成年人的随访包括直肠测量,直肠抑制反射评估,最大门休息压力和问卷.
- 28名接受了HD的DO患者被邀请参加成人门诊随访.
主要成果:
- 10名成年患者 (8名男性,2名女性;平均年龄21.57岁) 完成了随访.
- 在66.7%的患者中,直腔抑制反射异常.
- 临床结果显著改善",好"评分从早期评估中的53%增加到成人评估中的90%.
结论:
- 在杜哈梅尔手术治疗赫斯普朗氏病后的临床结果随着年龄的增长而有所改善.
- 除了直肠抑制反射之外,直肠测量参数基本保持不变.
- 长期的成年人随访对于客观的手术结果评估至关重要.
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