Huang Wenkai,Li Xueli,Zhang Jin,et al.Prevalence and risk factors of the early complications after surgery of Hirschprung’s disease：a retrospective cohort study.[J].Journal of Clinical Pediatric Surgery,,17():99-105.
Prevalence and risk factors of the early complications after surgery of Hirschprung’s disease：a retrospective cohort study.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 02
Page:
99-105
Column:
专题讨论
Date of publication:
2018-02-28
- Document code:
- A
- Abstract:
- ObjectiveTo explore the prevalence and risk factors of early complications after surgery of Hirschprungs disease,provide a theoretical basis of diagnosis and treatment for the clinicians,and reducecomplications.MethodsQuestionnaire surveys conducted on the Hirschprungs disease patients who underwent surgical procedure in our hospital from January 1,2002 to December 31,2012 were carried out.The patients medical record data including the possible mid,pre or postoperation risk factors were carefully reviewed and analyzed by Logistic multiple factors analyses.ResultsThe followup time was 1-13 years (mean 6.27±2.85years).181 cases were obtained and 95(52.49%) proved to be suffered earlier postoperative complications from surgery.The earlier postoperative complications included enterocolitis in 52(28.73%) cases,soiling and/or incontinence in 38(20.99%) cases,anastomotic stenosis in 2(1.10%) cases,prolapse in one(0.55%) cases,abdominal infection in one (0.55%) cases and one child was dead (0.55%).Logistic multiple factors analysis showed that the risk factors of enterocolitis were low birth weight (OR=2.378),low IgA (OR=2.766),preoperative enterocolitis (OR=4.597) and aganglionic segment ≥30 cm (OR=3.285).The risk factors of soiling and/or incontinence included low birth weight (OR=3.006),low IgA (OR=3.885),aganglionic segment≥30 cm (OR=5.055) and operative age<2 months (OR=4.270).ConclusionEnterocolitis and soiling and/or incontinence were still the main earlier complications after surgery for Hirschprungs disease,clinicians and healthcare should strengthen the knowledge of the prevalence and risk factors of these complications and take appropriate methods to reduce the incidence of these complications.
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