Hirschsprung 病手術症例の検討 : とくに術後排便機能と内圧検査所見について

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A statistical analysis concerning the types of Hirschsprung's disease, operative methods, age of initial treatment, etc. was performed on 79 cases of Hirschsprung's disease, which were treated either at the Gifu University Hospital or at the Nagara National Hospital during the past 18 years period. Relationship between findings of manometric study and postoperative bowel functions was also examined in 32 postoperative patients over 4 years of age. Following results were obtained. 1) Recently, the diagnosis of Hirschsprung's disease was made earlier (within infancy) and radical operation was performed at younger ages. 2) Postoperative bowel functions significantly improved with an increase in age. This improvement continued even over 13 years of age. 3) Satisfactory bowel functions were noted more frequently in the cases of showing higher anal canal pressures and longer anal canal lengths, as evaluated by manometry. The anal canal pressure in the "fair" bowel function group was significantly lower than that in the "excellent" bowel function group. The cases with satisfactory bowel functions did not always show positive rectosphincteric reflex postoperatively, while the cases showing positive reflex postoperatively tended to have satisfactory bowel functions. 4) It was found that "the Scoring of the Meeting of Anorectal Malformation" was useful as a common scale for the evaluation of postoperative bowel functions of Hirschsprung's disease patients.
日本小児外科学会の論文
1988-12-20

Hirschsprung 病手術症例の検討 : とくに術後排便機能と内圧検査所見について

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