Kraeft H, Holschneider A M, Hecker W C
Klin Padiatr. 1977 Nov;189(6):445-50.
For deep proctatresia, postoperative aftercare consisting of adequate, long-term bougienage is important. On the basis of 10 cases, it was shown that inadequate postoperative bougienage for proctatresia leads to formation of a megacolon and to overflow incontinence. The incontinence can then only be controlled by carrying out a proctectomy and a sigmoidectomy together with surgical formation of the gracilis. This proved to be satisfactory for all 10 cases presented.
对于深部直肠闭锁,术后进行充分的长期直肠扩张术等后续护理很重要。基于10例病例显示,直肠闭锁术后直肠扩张术不充分会导致巨结肠形成和充溢性失禁。然后,只有通过同时进行直肠切除术和乙状结肠切除术以及股薄肌手术成形术才能控制失禁。对于所呈现的所有10例病例,这被证明是令人满意的。