Wang Guohui,Lu Jinpeng,Liu Feng,et al.Efficacy analysis of modified limited anterior sagittal anorectoplasty for anal atresia with rectovestibular fistula[J].Journal of Clinical Pediatric Surgery,,20():1163-1168.[doi:10.12260/lcxewkzz.2021.12.012]
Efficacy analysis of modified limited anterior sagittal anorectoplasty for anal atresia with rectovestibular fistula
- Keywords:
- Anus; Imperforate; Vestibule fistula; Surgical Procedures; Operative; Treatment Outcome; Child
- CLC:
- R574.8;R726.1
- Abstract:
- Objective To explore the clinical value and efficacy of modified limited anterior sagittal anorectoplasty (ASARP) for congenital anal atresia with rectovestibular fistula.Methods From July 2014 to April 2020, clinical data were analyzed retrospectively for 26 children of congenital anal atresia with rectovestibular fistula undergoing limited ASARP.Operative duration, postoperative complications and defecation function, etc.were evaluated.Regular postoperative follow-ups were conducted for 8 to 72 months.Results All of them were cured.There were acute postoperative wound infection (n=1) and acute wound infection complicated by residual perineal fistula (n=1).There was no occurrence of constipation, diarrhea, anal stricture or rectocele.The clinical comprehensive score of anal function was excellent (n=23) and decent (n=3).Krickenbeck score:all of them regained voluntary defecation.Smudginess was grade Ⅰ (n=3) and grade Ⅱ (n=1).None of them showed no constipation and the grade of dense stool remained "no".Conclusion Limited ASARP is a mini-invasive and simple surgical technique so that satisfactory efficacy may be obtained within I period.It is ideal for congenital anal atresia with rectovestibular fistula.
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Memo
收稿日期:2020-12-17。
基金项目:河北省医学科学研究项目（编号：20210286）
通讯作者:牛会忠,Email:nrlnhz@163.com