Wang C, Lin J, Lim K
Division of Radiology, Chang Gung Children's Hospital and Chang Gung Medical College, Taoyuan, Taiwan, Republic of China.
Pediatr Surg Int. 1997 Jul;12(5-6):383-5. doi: 10.1007/BF01076945.
Colostomy is recommended in most newborns with imperforate anus (IA), except those with low-type anorectal malformations (ARM). Accurate demonstration of the anatomy of any associated fistula between the rectum and the urogenital tract is essential for optimal surgical management. Augmented-pressure distal colostography is recommended to fulfill this requirement prior to definitive surgical repair of IA. We examined 12 cases of high or intermediate-type ARM using this technique, which clearly demonstrated the distal perineal anatomy. All were confirmed at posterior sagittal anorectoplasty.
除了低位型肛门直肠畸形（ARM）的新生儿外，大多数肛门闭锁（IA）的新生儿建议行结肠造口术。准确显示直肠与泌尿生殖道之间任何相关瘘管的解剖结构对于优化手术管理至关重要。在IA进行确定性手术修复之前，建议采用增强压力远端结肠造影术来满足这一要求。我们使用该技术检查了12例高位或中间型ARM病例，该技术清晰地显示了远端会阴的解剖结构。所有病例均在经后矢状位肛门直肠成形术中得到证实。
