Vinograd I, Lernau O Z, Nissan S
Z Kinderchir. 1983 Oct;38(5):359-60. doi: 10.1055/s-2008-1060007.
10 infants with high anorectal atresia had a primary colostomy and later a definitive pull-through operation was performed. This was accomplished through a sacro-coccygeal approach and enabled easy and precise identification of the pubo-rectalis sling of the levator ani muscle. Placement of the rectum inside this sling is the most important factor in achieving post-operative faecal continence in these infants. A follow-up period of 4--10 years showed good bowel control in 9 patients, although occasional slight soiling occurs.
10例高位肛门直肠闭锁患儿先行一期结肠造口术，随后进行确定性拖出术。该手术通过骶尾入路完成，能够轻松、精确地识别肛提肌的耻骨直肠肌襻。将直肠置于该肌襻内是这些患儿术后实现大便自控的最重要因素。4至10年的随访期显示，9例患者排便控制良好，尽管偶尔会有轻微的便污现象。
