儿童先天性会阴正中裂七例  

Management of congenital median perineal cleft in children ： a report of 7 cases

作　　者：沈卫民[1] 崔杰[1] 陈建兵[1] 邹继军[1] 季易[1] 陈海妮[1] 张晓膺[2] 

机构地区：[1]南京医科大学附属南京儿童医院烧整科,210008 [2]苏州大学第三附属医院

出　　处：《中华整形外科杂志》2014年第2期81-84,共4页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨一种会阴部先天性畸形的诊断和治疗方法。方法研究该病的临床症状，以对该畸形进行诊断，2009年1月至2013年2月共收治7例患儿，对其中的4例采用会阴部对偶三角瓣进行治疗，在会阴部裂隙两侧做2个三角瓣，交错修复缺损；3例沟比较浅的患儿家长拒绝手术，故未行处理而继续观察。结果该病表现为从会阴正中至肛门处有_道裂口，内有黏膜组织。进行手术的4例患儿术后恢复好，无感染，均一期愈合，会阴部裂隙消失，无明显瘢痕，其中有1例会阴沟部稍有隆起，其余外形均满意，随访1—4年，会阴外形趋于正常。结论 通过对本组7例患儿临床表现的观察，该病可诊断为会阴正中裂。会阴部对偶三角瓣可以有效地去除会阴沟畸形，较好地修复女性会阴部的结构。Objective To discuss the treantment and diagnosis of congenital median perineal cleft in children. Methods Between January 2009 to February 2013, 7 cases were diagnosed as congenital median perineal cleft according to the symptoms. Among them, 4 eases underwent surgery to correct cleft with double triangular perineal flaps. The other 3 cases with minor cleft did not receive surgery management. Results There is an median cleft from the perineum to the anus with mucosa on the cleft surface. Primary healing was achieved in all the four patients with satisfactory appearance. The patients were followed up for 1-4 years with almost normal perineal appearance. Conclusions Congenital perineal median cleft can be diagnosed according to the symptoms. Double triangular perineal flaps can be effectively correct the cleft to attain normal perineal appearance.

关 键 词：会阴正中裂 儿童 外科皮瓣 

分 类 号：R726.2[医药卫生—儿科]