Upadhyaya Vijai Datta, Gangopadhyay Ajay N, Pandey Anand, Kumar Vijayendra, Sharma Shiv P, Gopal Saroj C, Gupta Dinesh K, Upadhyaya Ashish
Department of Pediatric Surgery, Institute of Medical Sciences, BHU, Varanasi, 221005 UP, India.
J Pediatr Surg. 2008 Apr;43(4):775-9. doi: 10.1016/j.jpedsurg.2007.11.038.
Anorectal malformations are one of the most common congenital defects. This study is conducted to demonstrate new technique for treatment of rectovaginal fistula without disturbing the fourchette through posterior sagittal approach.
All the patients of rectovestibular fistula admitted after the neonatal age were treated with posterior sagittal anorectoplasty without opening the fourchette. The results were evaluated for cosmetic appearance and anal continence.
A total of 40 patients were included in our study. All patients were more than 1 month old. Operative time ranges from 70 to 150 minutes. The cosmetic appearance was good. Anal continence was good in 72% cases and fair in 20% cases. Fifteen percent of patients had minimal constipation and 7.5% patients had mucosal prolapse.
Single-stage repair for vestibular anus through posterior sagittal anorectoplasty without opening fourchette has a good cosmetic appearance and good anal continence.
肛门直肠畸形是最常见的先天性缺陷之一。本研究旨在展示一种通过后矢状入路治疗直肠阴道瘘而不干扰阴唇系带的新技术。
所有新生儿期后入院的直肠前庭瘘患者均采用后矢状肛门直肠成形术治疗，不切开阴唇系带。对手术效果进行外观和肛门节制功能评估。
本研究共纳入40例患者。所有患者年龄均超过1个月。手术时间为70至150分钟。外观良好。72%的患者肛门节制功能良好，20%的患者尚可。15%的患者有轻度便秘，7.5%的患者有黏膜脱垂。
通过后矢状肛门直肠成形术对前庭肛门进行一期修复，不切开阴唇系带，具有良好的外观和肛门节制功能。
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