Kimura K, Ueoka K, Tsugawa C, Tanikaze S, Matsumoto Y
Z Kinderchir. 1985 Feb;40(1):31-5. doi: 10.1055/s-2008-1059707.
This paper describes a variety of surgical techniques which have been employed in three patients with cloacal anomalies, at the Kobe Children's Hospital during a period from 1977 to 1983. The patients presented with malformations in which the urethra, vagina and rectum converge at the high level of cloaca. Staged approach was mandatory in these patients. A loop colostomy with the distal loop of colon separated from the fecal stream and a decompressing vaginostomy are the initial procedures for this form of malformations. Vaginoplasty is required in some patients for pullthrough to the perineum. In those in whom the vagina and colon are separately pulled through, a posterior sagittal approach is convenient.
本文描述了1977年至1983年期间在神户儿童医院对三名泄殖腔畸形患者采用的多种手术技术。这些患者表现为尿道、阴道和直肠在高位泄殖腔处汇合的畸形。对这些患者必须采用分期手术方法。将结肠远侧肠袢与粪便流分离的袢式结肠造口术和减压性阴道造口术是这种畸形的初始手术。一些患者需要进行阴道成形术以便拖至会阴。对于阴道和结肠分别拖出的患者，后矢状入路较为方便。
