摘要
目的 :探讨高、中位肛门直肠闭锁手术方法的改良。方法 :对11例高、中位肛门直肠闭锁分别采用I期纵切口骶会阴和腹骶会阴联合肛门成型术替代传统的术式。结果 :术后除1例因合并心脏大血管转位转院治疗外 ,其余病例随访显示 ,肛门具有较明显收缩力 ,无明显肛门失禁 ,排便功能良好 ,效果满意。结论 :改良后的术式暴露充分 ,正常神经肌肉组织损伤轻 ,缩短病程 。
Objective:To investigate the improvement of operative mode for anoreetal malformation.Methods: 11 cases of anorectal malformation were treated with stage I piocto-plasty of pasterior sagital and abdominal sacroperineal incision respective to instead of traditional method.Results: All cases,execpt one case with cardial transposition,were showed that the contractile force was strength, no anus incontinence,defecation function was normal and the efficacy was better.Conclusion: The improved operative mode have enough exposure of operative field and have less injury of nerve and muscle tissue.Moreover, stage I of proto-plasty can shorten the course of disease.
出处
《天津医科大学学报》
2002年第4期523-524,共2页
Journal of Tianjin Medical University