摘要
目的 :探讨应用前矢状入路直肠肛门成形术治疗肛门闭锁直肠前庭瘘的临床价值。方法 :总结我院 1994～ 1999年收治的 16例肛门闭锁直肠前庭瘘临床资料。采用前矢状入路直肠肛门成形术治疗肛门闭锁直肠前庭瘘 16例。结果 :本组 16例术后获随访 2月～ 5年 ,按李正评分法 ,肛门功能临床评分达优 13例 ,良 3例 ;切口感染 1例。结论 :本方法操作简单 ,一期手术获得成功 ,不损伤耻骨直肠肌 ,术后排便控制能力优良 ,会阴外观正常 ,无瘘管复发 ,疗效满意 。
Objective:To evaluate the efficacy of anterior sagittal anorectoplasty in imperforate anus with rectovestibular fistula.Methods:From 1994 to 1999,16 cases of imperforate anus with rectovestibular fistula treated by anterior sagittal anorectoplasty was reviewed.Results:16 cases with anterior sagittal anorectoplasty were followed up for 2 months to 5 years.The function was assessed applying the clinical scoring systems of Li Zheng.That was categorized as good(13 cases)and fair(3 cases).1 case with infective incision.Conclusions:As ASARP is simpler in the children ,and all our patients of imperforate anus with rectovestibular fistual had a normal perimeum and bowel habits after surgery,it is concluded that ASARP is a feasible treatment for imperforate anus with rectovestibular fistula.
出处
《河北医学》
CAS
2000年第5期420-422,共3页
Hebei Medicine
