Analysis of risk factors for Hirschsprung's associated enterocolitis
10.3969/j.issn.1671-8348.2024.08.013
- VernacularTitle:先天性巨结肠相关性小肠结肠炎的危险因素分析
- Author:
Peng LIANG
1
;
Jiarong FAN
;
Wanfu LI
Author Information
1. 新疆医科大学第一附属医院小儿普外科,乌鲁木齐 830000
- Keywords:
children;
Hirschsprung's disease;
Hirschsprung's associated enterocolitis;
risk factors;
complication
- From:
Chongqing Medicine
2024;53(8):1189-1193
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors of Hirschsprung's associated enterocolitis (HAEC) to provide a basis for the diagnosis and treatment of Hirschsprung's disease (HSCR),and offer the guidance for reducing the postoperative complications occurrence and postoperative rehabilitation. Methods The case data of the children patients with HSCR treated by initial surgery in the pediatric surgery department of this hospital from January 2015 to January 2023 were analyzed retrospectively.The risk factors of HAEC occurrence were analyzed.Results Among 110 children patients with HSCR,34 cases developed HAEC with a incidence rate of 30.91％.There were statistical differences in different ages,preoperative enter-itis occurrence,low body weight,length of spastic segment of lesion and diet control (P<0.05).The multiva-riate logistic regression analysis results showed that the age ≥6 years old (OR=2.407,95％CI:1.040-5.568),preoperative bowel washing time<2 weeks (OR=2.464,95％CI:1.082-5.612),preoperative enter-itis occurrence (OR=2.943,95％CI:1.193-7.260),low body weight (OR=2.588,95％CI:1.113-6.014),and the length of spastic segment of lesion ≥30 cm (OR=2.801,95％CI:1.224-6.412) were the risk fac-tors of HAEC occurrence (P<0.05),while dietary control (OR=0.358,95％CI:0.153-0.837) was the pro-tective factor for HAEC (P<0.05).Conclusion Prevention after operation in the children patients with HSCR should be carried out according to the risk factors of HAEC occurrence.
