改良前矢状入路会阴肛门成形术治疗女童无肛前庭瘘  

Modified anterior sagittal anorectoplasty for anal atresia with anovestibular fistula in girls

作　　者：殷易钰 张宏伟 曹慧 禚保彪 张建军 

机构地区：[1]徐州市儿童医院普外科,江苏徐州221006

出　　处：《徐州医学院学报》2012年第7期468-470,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的探讨改良前矢状人路会阴肛门成形术治疗女童无肛前庭瘘的可行性。方法回顾性分析15例采用改良前矢状入路会阴肛门成形术（改良手术组）的无肛前庭瘘患儿的围手术期情况及术后随访情况，并与由同组手术人员完成的15例传统前矢状入路会阴肛门成形术（传统手术组）进行比较。结果2组间手术时间和瘘管损伤发生率差异无统计学意义（P〉0．05）；改良手术组术中阴道损伤发生率明显低于传统手术组（P〈0．05）。术后第1、3、6个月随访显示改良手术组肛管静息压均较传统手术组略低，但差异无统计学意义（P〉0．05）；污粪发生率2组间差异无统计学意义（P〉0．05）。结论改良前矢状入路会阴肛门成形术治疗无肛前庭瘘取得了与传统手术相似的术后排便功能，同时最大程度地保护了阴道，是切实可行的。Objective To explore the feasibility of modified anterior sagittal anorectoplasty （MASARP） for anoves- tibular fistula（AVF） in girls. Methods 15 gifts with AVF treated by MASARP （MASARP group） were analyzed retro- spectively. And we took 15 cases of anterior sagittal anorectoplasty （ ASARP grpup） in our hospital as control. Periopera- tive situations and postoperative follow -up cases between the two groups was compared. Results No significant differ- ence was found in operation time and fistula injury incidence between the two groups （ P 〉 0.05 ）. Vaginal injury inci- dence of MASARP group was significantly lower than ASARP （ P 〈 0.05 ）. 1,3,6 month follow - up show that anal rest- ing pressure of MASARP was slightly lower than that of ASARP group, but the difference was not statistically significant （P 〉 0. 05 ）. At the same time , the incidence of fecal pollution between the two groups has no significant statistical difference （P 〉 0. 05 ）. Conclusions MASARP is a feasible technique for treatment of AVF in girls, which effectively protects the vaginal and gets a good bowel function after surgery.

关 键 词：无肛前庭瘘 前矢状入路 会阴肛门成形术 小儿 

分 类 号：R726.1[医药卫生—儿科]