后矢状位肛门直肠成形术中直肠尿道瘘未闭合：我们的经验。
Nonclosure of rectourethral fistula during posterior sagittal anorectoplasty: Our experience.
作者信息
Jadhav Sudhakar, Raut Amit, Mandke Jui, Patil Santosh, Vora Ravindra, Kittur Dinesh
机构信息
SJKC Trust's Paed-Surgery Centre and P.G Institute, Sangli, Maharastra, India.
出版信息
J Indian Assoc Pediatr Surg. 2013 Jan;18(1):5-6. doi: 10.4103/0971-9261.107004.
AIM
To study the effect of nonclosure of rectourethral (RU) fistula and to do a comparative analysis of the complications with and without nonclosure of RU fistula during posterior sagittal anorectoplasty (PSARP) in anorectal malformation cases (ARM).
MATERIALS AND METHODS
A total of 68 cases of ARM were included in the study group, of which 34 cases were those in whom RU fistula was not closed (group A) during PSARP. Another 34 successive cases were included in study group B in whom the RU fistula was closed as is conventionally done by using interrupted sutures.
RESULTS
Comparatively, group A had none or minimum urological complications as compared to Group B.
CONCLUSION
RU fistula closure is not mandatory during PSARP and nonclosure avoids urological complications. It especially avoids urethral complications, which are 100% preventable.
目的
研究直肠尿道瘘（RU）不闭合的影响，并对肛门直肠畸形（ARM）病例行后矢状位肛门直肠成形术（PSARP）时RU瘘闭合与不闭合的并发症进行比较分析。
材料与方法
研究组共纳入68例ARM病例，其中34例在PSARP期间RU瘘未闭合（A组）。研究组B纳入另外34例连续病例，这些病例中RU瘘按常规使用间断缝合进行闭合。
结果
相比之下，与B组相比，A组无或仅有极少的泌尿系统并发症。
结论
PSARP期间RU瘘闭合并非必要，不闭合可避免泌尿系统并发症。尤其可避免尿道并发症，这些并发症100%可预防。
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