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

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]