婴幼儿先天性肛门闭锁舟状窝瘘30例手术治疗效果观察  

Clinical efficacy observation of surgical treatment on 30 cases of infant imperforate anus complicated with rectal fistula to navicular fossa

作　　者：周晓波[1] 

机构地区：[1]河南省南阳市中心医院小儿外科,河南南阳473000

出　　处：《中国当代医药》2012年第18期190-191,共2页China Modern Medicine

摘　　要：目的观察婴幼儿先天性肛门闭锁舟状窝瘘的临床特点和手术治疗效果。方法选择本院2007年10月～2011年10月先天性肛门闭锁舟状窝瘘女婴共30例,以上患儿均为出生后无肛门,存在舟状窝瘘。其中11例患儿有显著腹胀,4例患儿瘘口周围红肿。上述患儿均在全麻下实施保留瘘管肛门成形术。结果本组30例患儿手术均顺利,术后1例患儿出现肛门和会阴感染,但经外涂碘伏等处理痊愈,其余29例患儿伤口均愈合良好。对30例患儿均随访,随访时间平均为(24±8)个月,30例患儿肛门外观均正常,无肛门狭窄及直肠回缩发生,肛门排便能力为优。结论婴幼儿先天性肛门闭锁舟状窝瘘可选择保留瘘管肛门成形术治疗,此术式操作简便容易掌握,且手术创伤小,术后并发症少,疗效显著,值得借鉴。objective To explore the clinical character and clinical efficacy of surgical treatment on infant imperforate anus complicated with rectal fistula to navicular fossa. Methods Thirty cases infant imperforate anus complicated with rectal fis- tula to navicular fossa were selected from October 2007 to October 2011, they were all no anus with rectal fistula to navic- ular fossa after being borned. Eleven cases had significant abdominal distension, 4 cases had infection with redness and swelling in the area of fistula wound. Retention fistula anoplasty was used to all cases in general anaesthesia. Results Thir- ty cases of the surgeries were successful, I case had infection in anus and perineum, and cured after treatment with iodophor, the incisions of other 29 cases were better cured. Thirty cases were followed up, the time of follow-up was （24±8） months. The appearance of naus was normal in 30 cases, no anal stenosis and rectal retraction. The defecation function was satisfactory. Conclusion Retention fistula anoplasty may be used to infant imperforate anus complicated with rectal fistula to navicular fossa. The operation type is easy to be mastered, and has less surgery trauma, and has less operation complica- tions. The clinical efficacy is significant.

关 键 词：肛门闭锁 舟状窝瘘 手术 疗效观察 

分 类 号：R726.5[医药卫生—儿科]