目的    评价金陵术治疗成人先天性巨结肠的安全性、有效性和对病人生活质量的影响。 方法    对2008年6月至2011年12月南京军区南京总医院行金陵术治疗的25例先天性巨结肠便秘病人临床资料进行回顾性分析。结果    术后平均随访（3.0±1.1）年，至2013年6月仍保持随访。手术均成功。无手术相关死亡病例。术后并发症：腹泻、肛门疼痛、吻合口瘘、小肠梗阻和术后尿潴留，其中大部分可通过保守治疗缓解。病人的便秘症状评分和肠道功能评分在术后均有明显改善（P<0.01），胃肠道生活质量评分明显提高（P<0.01）。病人均满意。结论    金陵术治疗成人先天性巨结肠安全、有效，病人术后生活质量恢复良好。

Long term outcomes and quality of life after Jinling procedure for adult Hirschsprung’s disease        WANG Lin, JIANG Jun, DING Wei-wei, et al. Research Institute of General Surgery, Nanjing General Hospital of Nanjing Military Command, PLA, Nanjing University School of Medicine, Nanjing 210002, China
Corresponding author: JIANG Jun, E-mail: jiangjun6987@163.com
Abstract    Objective    To evaluate the safety, effectiveness and quality of life of Jinling procedure for adult Hirschsprung’s disease. Methods    The clinical data of 25 cases performed Jinling procedure for adult Hirschsprung’s disease between June 2008 and December 2011 in Nanjing General Hospital of Nanjing Military Command were analyzed retrospectively.  Results    The mean postoperative period followed up had been (3.0±1.1) years until June 2013. All the operations were successful. No surgical related death was reported. Adverse events mainly included diarrhea, anus pain, anastomotic leakage, small intestinal obstruction and postoperative urinary retention. Most of the complications could be managed conservatively. A significant improvement in Wexner constipation scale, bowel function score and gastrointestinal quality of life index was obtained after Jinling procedure (P<0.01). All the patients were satisfied with the outcomes. Conclusion    Jinling procedure is safe and effective for adult Hirschsprung’s disease and patients’ quality of life index after Jinling procedure is very high after long term follow-up.