Analysis of risk factors of enterocolitis after congenitalmegacolonectom y
MOYou-lian1 HUXiao-hua1▲ CHENMao-fang2 DUANLi-feng3 SU Jia-hong1 ZHANGPing-feng1 ZHONGChen1
1.Department of Pediatric Surgery,Affiliated Pok Oi Hospital of Zhongshan City,Southern Medical University,Guangdong Province,Zhongshan 528408,China;
2.Department of Anesthesiology,Affiliated Pok Oi Hospital of Zhongshan City,Southern Medical University,Guangdong Province,Zhongshan 528408,China;
3.Department of Pathology,Affiliated Pok Oi Hospital of Zhongshan City,Southern Medical University,Guangdong Province,Zhongshan 528408,China
Abstract：ObjectiveTo study the risk factors of enterocolitis after congenitalmegacolonectomy.MethodsThe subjects selected for this study were 140 patientswith congenital Hirschsprung′s disease who had undergone surgery in our hospital from January 2013 to December 2017.They were divided the observation group(n=46)and the control group(n=94)by patients complicated or uncomplicated postoperative concurrent enterocolitis.Explore related risk factors.ResultsPreoperative suffering from enteritis,suffering from upper respiratory tract or lung infection,malnutrition and postoperative anastomotic leakage or stenosis,intestinal obstruction and other complications,resection of rectalmucosa and internal sphincterwere congenitalmegacolon after enterocolitis single factor in patients;multiple factors include preoperative bowel inflammation,upper airway or lung infection,malnutrition.The differences in age，surgical age,lesion type,surgical method,and surgical resection range of the two groupswere relatively poor,the difference had no statistical significance(P＞0.05).ConclusionThe risk factors for enterocolitis after congenitalmegacolon surgery include preoperative conditions，nutritional status,removal of rectalmucosa and internal sphincter is an effective measure to avoid postoperative colitis.
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