Dòmini M, Aquino A, Rossi F, Lima M, Ruggeri G, Dòmini R
Cattedra di Chirurgia Pediatrica, Università G.D'Annunzio Chieti, Università degli Studi di Bologna, Italy.
J Pediatr Surg. 2000 Mar;35(3):522-5. doi: 10.1016/s0022-3468(00)90230-6.
The authors describe the results of an application of the surgical technique called ASTRA (anterior sagittal transrectal approach) in the case of a 16-year-old girl with a posttraumatic urethrovaginal fistula. The young girl with a posttraumatic urethrovaginal fistula had recurrence after 4 surgical attempts at closure performed by the vaginal approach before it was definitively corrected with the ASTRA. Two years after the ASTRA operation the patient is well with a complete restitution of function confirmed by a voiding cystourethrogram and urodynamic and rectal manometric tests. The successful recovery confirmed that ASTRA may be an excellent method of treating the developmental or acquired anomalies of the perineal region.
作者描述了一种名为ASTRA（经直肠前矢状入路）的手术技术在一名16岁创伤后尿道阴道瘘女孩病例中的应用结果。这名患有创伤后尿道阴道瘘的年轻女孩在通过阴道入路进行4次手术闭合尝试后复发，最终通过ASTRA手术得到了彻底矫正。ASTRA手术后两年，患者情况良好，排尿膀胱尿道造影、尿动力学和直肠测压测试证实功能完全恢复。成功康复证实ASTRA可能是治疗会阴区发育性或后天性异常的一种极佳方法。
