Peña A
Department of Surgery, Schneider Children's Hospital, New Hyde Park, New York.
Surg Clin North Am. 1992 Dec;72(6):1393-416. doi: 10.1016/s0039-6109(16)45887-1.
A significant amount of new information has been obtained concerning the early management of anorectal malformations. The surgical approach also has changed and improved the functional prognosis of children with these defects. Recommendations are made based on a series of 632 cases. A simplified approach to avoid the most common errors in the management of these defects is emphasized. Yet, there are still many children born with severe anatomic deficiencies who cannot expect normal bowel function; however, for this group, a bowel management program is available to help improve their quality of life.
关于肛门直肠畸形的早期管理已获得大量新信息。手术方法也有所改变，并改善了患有这些缺陷儿童的功能预后。基于632例病例提出了建议。强调了一种简化方法以避免在这些缺陷管理中出现最常见的错误。然而，仍有许多出生时存在严重解剖缺陷的儿童无法期望获得正常的肠道功能；不过，对于这一群体，有一个肠道管理方案可帮助改善他们的生活质量。
