CAO Hui,ZHANG Hong wei,ZOU Hua xin,et al.Anterior sagittal anorectoplasty in imperforate anus with rectovestibular fistula[J].Journal of Clinical Pediatric Surgery,2013,12(03):212-213.[doi:10.3969/j.issn.1671—6353.2013.03.014]
前矢状入路直肠肛门成形术治疗女婴无肛前庭瘘的疗效观察
- Title:
- Anterior sagittal anorectoplasty in imperforate anus with rectovestibular fistula
- Keywords:
- Ｃｏｌｏｒｅｃｔａｉ Ｓｕｒｇｅｒｙ; Colon／AB; Rectum／AB; Treatment Outcome
- 摘要:
- 目的评价前矢状入路直肠肛门成形术治疗女婴无肛前庭瘘的疗效。方法自会阴前矢状入路游离瘘口，游离直肠侧壁及直肠后壁，保留直肠末端瘘口不受损伤，保证瘘口内括约肌结构完整，使直肠末端置于外括约肌中心无张力重建会阴体，恢复女童正常会阴外观。结果本组86例一期手术获成功，经近远期随访，会阴体外观及肛门功能均达到满意的效果。结论前矢状入路直肠肛门成形术治疗女婴无肛前庭瘘，直视下重建肛门直肠，完整保留了直肠瘘口及直肠盲袋，获得了满意的排便功能。
- Abstract:
- Objetive To evaluate the efficacy of antierior sagittal anorectoplasty in imperforate anus with rectovestibular fistula.MethodsThe posterior wall and the side wall of the rectum was dealed with fully;the patients continued to have rectal muscle sheath and rectal fistula; The terminal rectum was laid aside the center of the external anal sphincter ，so the patients kept a normal perimeum.Results86 patients were operated successfully， all our patients of imperforate anus with rectovestibular fistual had a normal perimeum and bowel habits after surgery by followed-up.ConclusionAll patients of imperforate annus with rectovestibular fistula by sagittal continued to have rectal muscle sheath and rectal fistula and controlled bowel function well.
参考文献/References:
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2Ruiz D，Bashankaev B，Speranza J，et al.Graciloplasty for rectourethral，rectovaginal and rectovesical fistulas:technique overview，pitfalls and complications［J］.Tech Coloproctol，2008，12(3):277—281.
3黄英.治疗锁肛的术式-后矢状入路骶会阴肛门成形术（Pena）［J］.临床小儿外科杂志，2007，6(3):64—65.
4詹江华，胡博，罗喜荣，等.先天性肛门闭锁直肠远端切除范围的临床病理研究［J］.中华小儿外科杂志，2011，32(2):154—156.
5阎景铁，李明伟.经会阴手术治疗小儿直肠前庭瘘26例［J］.临床小儿外科杂志， 2012，11(6)：453—454．
6魏华.女婴无肛前庭瘘手术方法探讨［J］.临床小儿外科杂志，2012，11(6)：448—449．
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