Sham Minakshi, Singh Dasmit, Phadke Dileep
Department of Paediatric Surgery, B J Medical College, Pune, India.
J Indian Assoc Pediatr Surg. 2012 Jul;17(3):120-3. doi: 10.4103/0971-9261.98131.
To evaluate our results of definitive repair of anorectal malformations in patients with delayed presentation, during and beyond adolescence.
It is a retrospective analysis of all adolescent patients presenting for the first time for definitive repairs and innate patients - colostomy performed during the neonatal period, but who had lost to follow-up. It includes 15 patients (2 male and 13 female) aged from 13 to 32 years. Three well-decompressed female patients were managed by primary anterior sagittal anorectoplasty (ASARP). Twelve patients underwent staged procedures. Five patients (two male and three female) underwent posterior sagittal anorectoplasty (PSARP). The oldest male patient underwent abdominal-PSARP.
All of them attained socially acceptable fecal continence at follow-up of 1-4½ years. They are satisfied with the functional and cosmetic outcome of repair of their anomalies.
Prospects of fecal continence are good when definitive repair of anorectal malformations is done by an expert, even in the adolescent age group and beyond.
评估我们对青春期及青春期后出现延迟的肛门直肠畸形患者进行确定性修复的结果。
这是一项对所有首次前来进行确定性修复的青少年患者以及新生儿期行结肠造口术但失访的先天性患者的回顾性分析。研究包括15例年龄在13至32岁之间的患者（2例男性，13例女性）。3例肠道充分减压的女性患者接受了一期前路矢状位肛门直肠成形术（ASARP）。12例患者接受了分期手术。5例患者（2例男性，3例女性）接受了后路矢状位肛门直肠成形术（PSARP）。年龄最大的男性患者接受了腹部 - PSARP手术。
在1至4.5年的随访中，所有患者均获得了社会可接受的大便控制能力。他们对畸形修复的功能和外观效果感到满意。
即使在青少年及更大年龄组，由专家进行肛门直肠畸形的确定性修复，大便控制的前景良好。
