无肛舟状窝瘘术式改良及疗效评价  

Operation modification and evaluation of its curative effect in treatment of imperforate anus with rectal fistula to navicular fossa

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作  者:刘泽茹 徐向荣 牛学义 

机构地区:[1]开封市儿童医院外科

出  处:《河南医学研究》1999年第1期67-69,共3页Henan Medical Research

摘  要:目的:无肛舟状窝瘘术式改良及疗效评价。方法:随机分为两组:采用直肠末端旋转术并得到随访102例;采用传统术式治疗者为对照组并随访48例,其中骶会阴、尾路肛门成形术20例,瘘后移肛门成形术28例。结果:直肠末端旋转术优97例,良5例。优良率95%,并发症5%。对照组:优33例、良6例、差9例、治愈率688%,并发症312%。两组有极显著性差异(P<0001)。结论:直肠末端旋转术解除了直肠回缩、瘘复发的发病基础,避免了并发症的发生,已向全国多家医院推广使用。Objective: Operation modification and the evaluation of its curative effect in the treatment of imperforate anus with rectal fistula to navicular fossa. Methods: 102 cases were treated with terminal rectum rotation anoplasty (TRRA) and 48 cases as control at random were treated respectively with sacrococcygeal-perineal anoplasty (20) and fistula retroposit ion anoplasty( 28).All cases had been followed up postoperatively. Results: Among the cases treated with TRRA, 97 were excellent ,5 good, the curative rate was 95%, 5% had complications.In the control group,33 were excellent,6 good, 9 poor,the curative rare was 68.8%,31 .2% had complications. Statistical analysis of the study group and the control group using χ 2 test got χ 2=17.6, P <0 001,Six cases complicated with fistula recurrence in the control group but none in the TRRA group (χ 2=14.81, P <0 001).Conclusion: TRRA can eliminate the pathogeneis of rectal retraction and fistula recurrence and avoid the occurrence of complications. Its short term and long term follow-up result is satisfactory. It has been spread to many hospitals in the country and has achieved significant social and economic resalts.

关 键 词:无肛 舟状窝瘘术 直肠末端旋转 儿童 

分 类 号:R726.571.1[医药卫生—儿科]

 

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