Wood Richard J, Levitt Marc A
Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio.
Department of Surgery and Pediatrics, The Ohio State University, Columbus, Ohio.
Clin Colon Rectal Surg. 2018 Mar;31(2):61-70. doi: 10.1055/s-0037-1609020. Epub 2018 Feb 25.
Anorectal malformation are common congenital problems occurring in 1 in 5,000 births and have a spectrum of anatomical presentations, requiring individualized treatments for the newborn, sophisticated approaches to the definitive reconstruction, and management of long-term treatments and outcomes. Associated anomalies related to the cardiac, renal, gynecologic, orthopedic, spinal, and sacral systems impact care and prognosis. Long-term results are good provided there is an accurate anatomical reconstruction and a focus on maximizing of functional results.
肛门直肠畸形是常见的先天性问题,在每5000例出生中就有1例发生,且有一系列解剖学表现,需要对新生儿进行个体化治疗、采用复杂的方法进行确定性重建以及管理长期治疗和预后。与心脏、肾脏、妇科、骨科、脊柱和骶骨系统相关的合并畸形会影响治疗和预后。如果能进行准确的解剖重建并注重最大限度地提高功能效果,长期结果会很好。