前矢状入路直肠肛门成形术治疗女婴无肛前庭瘘的疗效观察  

Anterior sagittal anorectoplasty in imperforate anus with rectovestibular fistula.

作　　者：曹慧 张宏伟 邹华新 曾战东 李世宪 

机构地区：[1]江苏省徐州市儿童医院外科,江苏省徐州市221006

出　　处：《临床小儿外科杂志》2013年第3期212-213,共2页Journal of Clinical Pediatric Surgery

摘　　要：目的评价前矢状入路直肠肛门成形术治疗女婴无肛前庭瘘的疗效。方法自会阴前矢状入路游离瘘口，游离直肠侧壁及直肠后壁，保留直肠末端瘘口不受损伤，保证瘘口内括约肌结构完整，使直肠末端置于外括约肌中心无张力重建会阴体，恢复女童正常会阴外观。结果本组86例一期手术获成功，经近远期随访，会阴体外观及肛门功能均达到满意的效果。结论前矢状入路直肠肛门成形术治疗女婴无肛前庭瘘，直视下重建肛门直肠，完整保留了直肠瘘口及直肠盲袋，获得了满意的排便功能。Objetive To evaluate the efficacy of antierior sagittal anorectoplasty in imperforate anus with rectovestibular fistula. Methods The posterior wall and the side wall of the rectum was dealed with fully ; the patients continued to have rectal muscle sheath and rectal fistula; The terminal rectum was laid aside the center of the external anal sphincter , so the patients kept a normal perimeum. Results 86 patients were oper- ated successfully, all our patients of imperforate anus with rectov-estibular fistual had a normal perimeum and bowel habits after surgery by followed - up. Conclusion All patients of imperforate annus with rectovestibular fistula by sagittal continued to have rectal muscle sheath and rectal fistula and controlled bowel function well.

关 键 词：结直肠外科手术 结肠 畸形 直肠 畸形 治疗结果 

分 类 号：R657.1[医药卫生—外科学]