Frenckner B
Z Kinderchir. 1985 Oct;40(5):312-4. doi: 10.1055/s-2008-1059801.
A 6-month-old boy with high anal atresia was operated upon via a sacro-perineal approach. After division of the rectourethral fistula, pressure recordings from the rectal part of the fistula during electrical stimulation of the rectal mucosa showed a resting pressure and relaxations resembling internal anal sphincter activity. The fistula was used for the reconstruction of the anal canal and anastomosed to the skin in the anal incision. The postoperative course was uneventful. Six weeks after the operation ano-rectal manometry showed a high resting anal pressure and normal internal sphincter relaxations. It is concluded that the presented surgical technique may provide a functioning internal sphincter in at least some patients with high anal atresia with recto-urethral fistula.
一名患有高位肛门闭锁的6个月大男孩通过骶会阴入路接受了手术。在分离直肠尿道瘘后，在电刺激直肠黏膜时对瘘管直肠部分进行压力记录，结果显示出类似于肛门内括约肌活动的静息压力和松弛情况。该瘘管被用于肛管重建，并与肛门切口处的皮肤吻合。术后过程顺利。术后六周，肛门直肠测压显示肛门静息压力高且内括约肌松弛正常。结论是，所提出的手术技术可能至少为一些患有高位肛门闭锁合并直肠尿道瘘的患者提供一个有功能的内括约肌。
