To Analyse The Diagnosis And Treatment For Hirschsprung’s Disease Above 3 Month

Objective:1.To study the significance of Calretinin in diagnosing HD2.To evaluate the transanal endorectal pullthrough colorectal resection and oblique anastomosis for Hirschsprung’s disease.Method:Collected all the medical data of the 81 patients above 3 months who were given rectal suction biopsy and CR examination, treated by the transanal endorectal pullthrough colorectal resection and oblique anastomosis in our hospital from January of 2011 to December of 2013. Follow up the 81 patients 1 to 3 years after the operation to know about the complications of the transanal endorectal pullthrough colorectal resection and oblique anastomosis and evaluate the operation’s effect.Result:1.The coincidence rate of CR with rectal suction biopsy is 100%.2.The average operation duration and intraoperative blood loss were 70.4 min and 16.2 ml in the patients above 3 months.Average length of hospital stay was 7.1 days.3.Of the 81 patients,48 patients were followed up,so folowing up rate is 59.3%.Soiling rate is 8.3%, bowel movement frequency rate is 12.5% and the incidence of enterocolitis is 4.2%.None of them had obstructed defecation, fecal incontinence and anal stricture.Conclusion:1.CR can be widely used in diagnosing Hirschsprung’s disease.2.The intermediate outcomes of transanal endorectal pull-through colorectal resection and oblique anastomosis for Hirschsprung’s disease are satisfying,so it is suitable for infants who are suffering from HD.