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本月影像：如何选择无可见瘘管的男性肛门直肠畸形的理想手术入路。

Image of the Month: How to Select the Ideal Surgical Approach in Male Anorectal Malformation with No Visible Fistula.

作者信息

Apte Anisha, McKenna Elise, Levitt Marc A

机构信息

Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States.

Department of General and Thoracic Surgery, Children's National Medical Center, Washington, District of Columbia, United States.

出版信息

European J Pediatr Surg Rep. 2020 Jan;8(1):e105-e107. doi: 10.1055/s-0040-1721042. Epub 2020 Nov 23.

DOI:10.1055/s-0040-1721042
PMID:33244450
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7684987/
Abstract

We present a case of a 6-month-old male infant with an anorectal malformation (ARM) who underwent colostomy as a newborn, and now presents for definitive repair. A colostogram is shown to identify the malformation and to help plan for the ideal surgical approach. The case is presented with a focus on surgical strategies for management of ARM in the male infant, with questions for the readers posed in a quiz format.

摘要

我们报告一例6个月大的男性婴儿，患有肛门直肠畸形（ARM），其在新生儿期接受了结肠造口术，现前来进行最终修复。展示了一张结肠造影片，以识别畸形并帮助规划理想的手术方法。本文介绍该病例时重点关注男性婴儿ARM的手术治疗策略，并以问答形式向读者提出问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61ca/7684987/02a7b12c0b30/10-1055-s-0040-1721042-i200542cr-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61ca/7684987/f948d282e581/10-1055-s-0040-1721042-i200542cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61ca/7684987/ff8ee386807c/10-1055-s-0040-1721042-i200542cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61ca/7684987/02a7b12c0b30/10-1055-s-0040-1721042-i200542cr-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61ca/7684987/f948d282e581/10-1055-s-0040-1721042-i200542cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61ca/7684987/ff8ee386807c/10-1055-s-0040-1721042-i200542cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61ca/7684987/02a7b12c0b30/10-1055-s-0040-1721042-i200542cr-3.jpg

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本文引用的文献

1
A call to ARMs: Accurate identification of the anatomy of the rectourethral fistula in anorectal malformations.呼吁使用 ARMs：准确识别肛门直肠畸形中直肠尿道瘘的解剖结构。
J Pediatr Surg. 2019 Aug;54(8):1708-1710. doi: 10.1016/j.jpedsurg.2019.04.010. Epub 2019 Apr 26.
2
Anorectal Malformations.肛门直肠畸形
Clin Colon Rectal Surg. 2018 Mar;31(2):61-70. doi: 10.1055/s-0037-1609020. Epub 2018 Feb 25.
3
Augmented-pressure distal colostogram: the most important diagnostic tool for planning definitive surgical repair of anorectal malformations in boys.
增压远端结肠造影：男孩肛门直肠畸形确定性手术修复计划中最重要的诊断工具。
Pediatr Radiol. 2018 Feb;48(2):258-269. doi: 10.1007/s00247-017-3962-2. Epub 2017 Aug 24.
4
European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations.肛门直肠畸形网络（ARM-Net）成员关于新生儿肛门直肠畸形诊断与早期管理的欧洲共识会议
Tech Coloproctol. 2015 Mar;19(3):181-5. doi: 10.1007/s10151-015-1267-8. Epub 2015 Jan 22.