经后矢状入路肛门直肠成形术治疗中高位肛门直肠畸形疗效分析  

Anorectoplasty via posterior sagittal approach in treatment of anorectal malformation of medium and highly seated: report of 44 cases

作　　者：董欣竞[1] 李晓庆[1] 周德凯[1] 

机构地区：[1]重庆医科大学附属儿童医院普通外科,重庆400014

出　　处：《第三军医大学学报》2006年第20期2088-2090,共3页Journal of Third Military Medical University

摘　　要：目的 回顾性分析44例经后矢状入路肛门直肠成形术（posterior sagittal anorectoplasty，PSARP）治疗不同年龄、中高位肛门直肠畸形病例，讨论新生儿一期行PSARP的可能性。方法 回顾分析了1993年2月至2005年1月在我院采用PSARP治疗的中高位肛门直肠畸形44例，初步随访并总结术后疗效及排便功能。结果 15例在新生儿期行结肠造瘘术，术后3～7个月行PSARP；其余29例（9例新生儿、2个月至9岁20例）均一期行PsARP，2例新生儿术后死亡。21例患儿术后随访6个月至5年，18例排便情况经临床评分结果为优良。结论 PSARP治疗中高位肛门直肠畸形，疗效满意。新生儿在条件许可下,一期行PSARP,仍可获良好的排便功能。Objective To report 44 cases of meta-superior position anorectal malformation in different age therapied by posterior sagittal anorectoplasty（PSARP） operation, and to discuss possibility of one-stage anorectoplasty via posterior sagittal approach in neonate. Methods The clinical data of 44 cases meta-superior position anorectal malformation, which were treated by PSARP, were studied retrospectively. Results Of 44 cases, 15 were treated by colon stoma in neonate, then PSARP was executed after 3～7 months. And the rest 29 cases （9 in neonate and 20 in 2 months～9 years） were operated with one-stage anorectoplasty via posterior sagittal approach. Among 21 children followed from post-operration 6 months to 5 years, 18 cases of defecation clinical score were fineness. Conclusion The curative effects of PSARP in neonate to meta-superior position anorectal malformation is satisfactory. If the neonate is in good condition, one-stage anorectoplasty via posterior sagittal approach could be executed in infant, and favourable defecate function could be remain.

关 键 词：新生儿 肛门直肠畸形 肛门成形术 

分 类 号：R615[医药卫生—外科学] R726.571.1[医药卫生—临床医学]