Stenström Pernilla, Anderberg Magnus, Kockum Christina Clementson, Arnbjornsson Einar
Department of Pediatric Surgery, Skane University Hospital, Lund, Sweden.
European J Pediatr Surg Rep. 2013 Jun;1(1):46-7. doi: 10.1055/s-0033-1345104. Epub 2013 Apr 24.
The aim of this report is to present a technical detail of use in the management of an anorectal malformation (ARM). A boy with ARM and a fistula to the urethra was operated on with a posterior sagittal anorectoplasty (PSARP). Before the PSARP operation, a videoendoscopy was performed through the distal stoma down to the distal end of the rectum. The rectourethral fistula was identified and a guidewire was passed through the endoscope, through the fistula, and out through the urethra. The endoscopically placed rectourethral guidewire was used as a landmark and facilitated the PSARP operation.
本报告旨在介绍一种用于治疗肛门直肠畸形（ARM）的技术细节。一名患有ARM且伴有尿道瘘的男孩接受了后矢状位肛门直肠成形术（PSARP）。在进行PSARP手术前，通过远端造口进行了视频内镜检查，直至直肠远端。识别出直肠尿道瘘后，将一根导丝通过内镜、瘘管并穿出尿道。内镜下放置的直肠尿道导丝作为一个标志，有助于PSARP手术的进行。
