前矢状入路直肠肛门重建术(ASARP)在无肛直肠前庭瘘的应用  

Anterior Sagittal Anorectoplasty in Imperforate Anus with Rectovestibular Fistula

作　　者：赵成鹏[1] 王雅[1] 杨军[1] 马从乾[1] 段永福[1] 时名涛[1] 吕中俊[1] 

机构地区：[1]南阳市中心医院小儿外科,河南南阳473009

出　　处：《医学信息》2009年第8期1537-1538,共2页Journal of Medical Information

摘　　要：目的探讨应用前矢状入路直肠肛门重建术治疗肛门闭锁直肠前庭瘘的临床价值。方法总结我院2003年7月～2006年5月收治的21例肛门闭锁直肠前庭瘘临床资料。采用前矢状入路直肠肛门重建术治疗肛门闭锁直肠前庭瘘21例。结果本组21例术后获随访2月～3年,按李正评分法,肛门功能临床评分达优16例,良5例;切口感染2例。结论本方法操作简单,一期手术取得成功,不损伤耻骨直肠肌,术后排便控制能力优良,会阴外观正常,无瘘管复发,疗效满意,是治疗肛门闭锁直肠前庭瘘较佳的手术方式之一。Objective To evaluate the efficacy of anterior sagittal anorectoplasty in imperforate anus wit reetovestihular fistula Methods From July 2003 to May 2006, 21 cases of imperforate anus with rectovestibular fistula treated by anterior sagittal anorectoplasty were reviewed. Results 16 eases with anterior sagittal anorectoplasty were followed-up for 2 months to 5 years. The function was assessed applying the clinical scoring systems of Li zheng. That was categorized as good （16cases） and fair （5cases）. 2 case with infectiveincision. Conclusions The ASARP is simpler in the children, and all our patients of imperforate anus with rectovestibular fistula had a normal perimeumnd bowel habits after surgery, it is concluded that ASARP is a feasible treatment for imperforate anus with rectovestibular fistula.

关 键 词：直肠肛门畸形 肛门成形术 前矢状 

分 类 号：R657.11[医药卫生—外科学] R735.370.5[医药卫生—临床医学]