Kraus Steven J, Levitt Marc A, Peña Alberto
Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229, USA.
Departments of Radiology and Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Pediatr Radiol. 2018 Feb;48(2):258-269. doi: 10.1007/s00247-017-3962-2. Epub 2017 Aug 24.
There is little current literature on the augmented-pressure distal colostogram, the single most important diagnostic study performed in boys with imperforate anus prior to definitive repair. Accurate understanding of the anatomy of the anorectal malformation including an associated fistulous communication between the rectum and the urogenital tract is essential for optimal surgical management. Specifically, the position of the rectal pouch and recto-urinary fistula relative to posterior sagittal structures of the perineum, especially the sacral spine, dictates the operative approach. This pictorial essay is a guide for those who encounter such children with relative infrequency to become more comfortable with the technique. We report how to perform this radiologic exam and the potential pitfalls from our experience of performing the technique in our large pediatric colorectal practice.
目前关于增加压力的远端结肠造影的文献较少，这是在肛门闭锁男孩进行确定性修复之前进行的最重要的单项诊断研究。准确了解肛门直肠畸形的解剖结构，包括直肠与泌尿生殖道之间相关的瘘管交通，对于优化手术管理至关重要。具体而言，直肠盲袋和直肠尿道瘘相对于会阴后部矢状结构，尤其是骶骨的位置，决定了手术方法。这篇图文并茂的文章为那些相对不常遇到此类患儿的人提供了一个指南，以便他们能更熟练掌握该技术。我们报告了如何进行这项放射学检查以及根据我们在大型儿科结直肠科实践中执行该技术的经验所发现的潜在陷阱。
