目的 分析两种手术方式及不同病理类型的先天性巨结肠（HD）患儿术后并发症及排便功能。方法 对行HD根治术的101例患儿进行术后早期并发症的回顾性分析，并评估87例获访患儿在根治术后6、12、24个月时的排便功能（Krechenbeck 评分）和排便频率,评价两种手术方式及不同病理类型HD患儿与术后并发症及肛门排便功能的关系。结果 Soave术后早期便秘发生率（11.76%）显著高于Ikedasoper术（2.78%），Ikedasoper术后早期并发症发生率（8.33%）显著高于Soave术（0%），差异均有统计学意义（P<0.05）。病理类型越严重，术后并发症发生率也越高。术后随访时间越长，排便功能越好；术后24个月，不同组患儿之间的排便功能比较，差异无统计学意义（P>0.05）。结论 选择最熟练及最合适的手术方式、术后饮食和排便管理是治疗HD的关键。

Objective To analyze the effects of two surgical procedures on the postoperative complications and defecation function of patients with different pathologic types of Hirschsprung disease (HD). Methods The early postoperative complications of 101 children with HD who underwent radical procedures were retrospectively analyzed. The defecation function (Krechenbeck scores) and stooling frequency of 87 followed up cases were evaluated 6, 12, and 24 months after radical procedures. The relationships of two surgical procedures, different pathologic types, postoperative complications, and defecation function were assessed. Results The rate of early postoperative constipation of the Soave procedure (11.76%) was significantly higher than that of the Ikedasoper procedure (2.78%), while the rate of early pelvic inflammation complication of the Ikedasoper procedure (8.33%) was significantly higher than that of the Soave procedure (0%). The differences were statistically significant (P<0.05). The rate of postoperative complications increased with the severity of pathologic types. The defecation function improved with time. The differences of defecation function of different groups were not statistically significant 24 months after surgery (P>0.05). Conclusion Selection of the most appropriate procedure and management of postoperative diet and defecation are key points for the treatment of HD.