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本月影像：一名肛门直肠畸形患者的高压远端结肠造影照片。

Image of the Month: High Pressure Distal Colostogram in a Patient with an Anorectal Malformation.

作者信息

Apte Anisha, Brisighelli Giulia, 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 Surgery, Paediatric Surgery, Chris Hani Baragwanath Hospital, Johannesburg, Gauteng, South Africa.

出版信息

European J Pediatr Surg Rep. 2020 Jan;8(1):e108-e111. doi: 10.1055/s-0040-1721051. Epub 2020 Nov 23.

DOI:10.1055/s-0040-1721051
PMID:33244451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7684984/
Abstract

An adequately performed high pressure distal colostogram is crucial to plan surgery in male patients born with anorectal malformations. We present two male patients that underwent a divided sigmoid colostomy with distal mucus fistula in the neonatal period and at 6 months of age underwent a high pressure distal colostogram. In the discussion, we will give some tricks beyond the known rules: how to correctly interpret a high pressure distal colostogram, how to identify the level of a recto-urinary fistula, and how to accurately plan the surgical approach.

摘要

对于患有肛门直肠畸形的男性患者，充分进行的高压远端结肠造影片对于手术规划至关重要。我们介绍两名男性患者，他们在新生儿期接受了乙状结肠造口术并伴有远端黏液瘘，在6个月大时接受了高压远端结肠造影。在讨论中，我们将给出一些已知规则之外的技巧：如何正确解读高压远端结肠造影片，如何确定直肠泌尿瘘的水平，以及如何准确规划手术入路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26c/7684984/781647795e1f/10-1055-s-0040-1721051-i200550cr-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26c/7684984/083dabbeace7/10-1055-s-0040-1721051-i200550cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26c/7684984/711e10126ffb/10-1055-s-0040-1721051-i200550cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26c/7684984/781647795e1f/10-1055-s-0040-1721051-i200550cr-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26c/7684984/083dabbeace7/10-1055-s-0040-1721051-i200550cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26c/7684984/711e10126ffb/10-1055-s-0040-1721051-i200550cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26c/7684984/781647795e1f/10-1055-s-0040-1721051-i200550cr-3.jpg

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本文引用的文献

1
The Role of Laparoscopy in Anorectal Malformations.
Eur J Pediatr Surg. 2020 Apr;30(2):156-163. doi: 10.1055/s-0040-1701700. Epub 2020 Mar 4.
2
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.
3
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.
4
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.
5
The radiographic anatomy of the normal and abnormal neonatal pelvis.
J Pediatr Surg. 1969 Aug;4(4):432-44. doi: 10.1016/0022-3468(69)90610-1.