“上顶下拖”法治疗中间位肛门闭锁  

Push Up Ward and Pull Down Out to Treat Interposition Anal Atresia

作　　者：张鲁东[1] 陶强[2] 张文夏[1] 

机构地区：[1]深圳市妇幼保健院外科,广东深圳518025 [2]江西省儿童医院外科,江西南昌330006

出　　处：《临床小儿外科杂志》2003年第5期345-346,365,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的 设计一种新的手术方法“上顶下拖”法,用于治疗中间位肛门闭锁。方法 经腹于直肠内置一宫颈扩张器从上向下顶出直肠盲袋,会阴部游离并拖出直肠盲袋行肛门成形术。1990年至2003年用该法完成中间位肛门闭锁手术32例。结果 32例全部成活。4例术后肛门狭窄、排便困难,经强力扩肛半年治愈,无明显肛门失禁病例。结论 “上顶下拖”法治疗中间位肛门闭锁,手术操作简便、安全,术后肛门功能满意。Objective We designed a new operative approach named as push upward and pull down out for treating anal atresia of interposition. Methods Caecum of rectum was pushed down out by a cervical canal dilator inserted from abdomen incision, striped and pulled out from perineal incision and then was sutured with skin of perineum. 32 cases of interposition anal atresia had been treated through this operation approach from 1990 to 2003. Results All 32 cases were survived. 4 cases had sequela of anal stenosis and difficult defecation and all were healed by forced anal dilation through half-a-year. No fecal incontinence was happened. Conclusion The 'push up ward and pull down out approach is a simple and safe operation for anal atresia of interposition and can obtain satisfactory anal function.

关 键 词：“上顶下拖”法 手术治疗 中间位肛门闭锁 手术方法 小儿 

分 类 号：R726.571[医药卫生—儿科]