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会阴管异常的管理。

Management of perineal canal anomaly.

作者信息

Mirza I, Zia-ul-Miraj M

机构信息

Department of Pediatric Surgery, The Institute of Child Health and The Children's Hospital, Lahore, Pakistan.

出版信息

Pediatr Surg Int. 1997;12(8):611-2. doi: 10.1007/BF01371912.

DOI:10.1007/BF01371912
PMID:9354738
Abstract

A 6-year-old girl presented due to passage of stool through her vulva since birth. Examination revealed a fistulous tract between vestibule of the vagina and an otherwise normally formed anal canal. The tract was successfully excised through an anterior sagittal approach with a defunctioning sigmoid colostomy, which was closed 12 weeks later. The embryology, morbid anatomy, and treatment of this rare congenital anomaly are discussed along with a review of the literature.

摘要

一名6岁女孩因自出生以来经外阴排便前来就诊。检查发现阴道前庭与形态正常的肛管之间存在一条瘘管。通过前正中矢状入路成功切除瘘管,并进行了乙状结肠造瘘术,12周后关闭造瘘口。本文讨论了这种罕见先天性异常的胚胎学、病理解剖学及治疗方法,并对相关文献进行了综述。

相似文献

1
Management of perineal canal anomaly.会阴管异常的管理。
Pediatr Surg Int. 1997;12(8):611-2. doi: 10.1007/BF01371912.
2
Long-term results of anterior sagittal anorectoplasty for the treatment of vestibular fistula.前矢状位肛门直肠成形术治疗前庭瘘的长期效果
J Pediatr Surg. 2009 Oct;44(10):1913-9. doi: 10.1016/j.jpedsurg.2009.02.072.
3
The surgical correction of anal incontinence by complete perineoplasty: case report.经完全会阴成形术手术矫正肛门失禁:病例报告
Plast Reconstr Surg. 1968 Mar;41(3):268-72. doi: 10.1097/00006534-196803000-00013.
4
The surgical treatment of low anal defects and vestibular fistulas.低位肛门缺损和前庭瘘的外科治疗
Semin Pediatr Surg. 1997 Nov;6(4):204-16.
5
MURCS association and rectovestibular fistula: case report of a patient treated with one-stage posterior sagittal anorectoplasty and sigmoid loop vaginoplasty.苗勒氏管发育不全综合征与直肠前庭瘘:1期后矢状位肛门直肠成形术及乙状结肠袢阴道成形术治疗1例报告
J Pediatr Surg. 2003 Feb;38(2):262-4. doi: 10.1053/jpsu.2003.50060.
6
Single-stage repair of vestibular and perineal fistulae without colostomy.不进行结肠造口术的前庭瘘和会阴瘘一期修复术。
J Pediatr Surg. 2008 Oct;43(10):1848-52. doi: 10.1016/j.jpedsurg.2008.03.047.
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Management of sexual assault-related large rectovaginal fistula in an eight-year-old.
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Rectovestibular fistula with absent vagina: a unique anorectal malformation.
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Primary perineal rectovaginoanoplasty for supralevator imperforate anus in female neonates.女性新生儿高位无肛的经会阴直肠阴道成形术
J Pediatr Surg. 1990 Feb;25(2):278-81. doi: 10.1016/0022-3468(90)90441-b.
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Rectovestibular fistula with absent distal vagina in an adolescent Nigerian girl.一名尼日利亚青春期女孩出现直肠前庭瘘且阴道远端缺失。
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引用本文的文献

1
Vestibulo-Rectal Pull Through in H-Fistula in Girls.女童H型肛瘘的前庭-直肠拖出术
J Indian Assoc Pediatr Surg. 2018 Oct-Dec;23(4):182-185. doi: 10.4103/jiaps.JIAPS_59_18.
2
Infantile vulvar abscess with a normal anus: a suspicious sign of rectovestibular fistula.肛门正常的婴儿外阴脓肿:直肠前庭瘘的可疑征象。
Yonsei Med J. 2010 Sep;51(5):717-21. doi: 10.3349/ymj.2010.51.5.717.
3
Recto-vestibular disruption defect resulted from the malpractice in the treatment of the acquired recto-vestibular fistula in infants.直肠前庭瘘破裂缺损是婴儿后天性直肠前庭瘘治疗不当所致。

本文引用的文献

1
Ectopic anus in the female.
Acta Chir Scand. 1960 Apr 14;118:466-78.
2
New transanal approach for surgical correction of perineal canal.用于会阴管手术矫正的新经肛门入路。
Br J Surg. 1995 Feb;82(2):182-3. doi: 10.1002/bjs.1800820213.
3
Double termination of the alimentary tract--a second look.
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4
World J Gastroenterol. 2007 Apr 7;13(13):1980-2. doi: 10.3748/wjg.v13.i13.1980.
4
Transanal approach in repairing acquired rectovestibular fistula in females.经肛门途径修复女性后天性直肠前庭瘘
World J Gastroenterol. 2004 Aug 1;10(15):2299-300. doi: 10.3748/wjg.v10.i15.2299.
Double termination of the alimentary tract in females: a report of 12 cases and a literature review.
J Pediatr Surg. 1984 Jun;19(3):292-6. doi: 10.1016/s0022-3468(84)80190-6.
5
Double termination of the alimentary tract in female infants.女婴消化道双端终止。
J Pediatr Surg. 1969 Apr;4(2):237-43. doi: 10.1016/0022-3468(69)90398-4.
6
Normal and abnormal development of the anorectum.肛管直肠的正常与异常发育
J Pediatr Surg. 1986 May;21(5):434-40. doi: 10.1016/s0022-3468(86)80515-2.
7
Congenital anal fistula with normal anus.先天性肛门瘘伴正常肛门
J Pediatr Surg. 1989 Feb;24(2):183-5. doi: 10.1016/s0022-3468(89)80245-3.
8
Anterior sagittal anorectoplasty for rectovestibular and anovestibular fistula.
J Pediatr Surg. 1992 Jan;27(1):85-8. doi: 10.1016/0022-3468(92)90113-l.
9
Congenital urethral fistula with normal anus: a report of two cases.先天性尿道瘘伴肛门正常:两例报告
J Pediatr Surg. 1992 Oct;27(10):1278-80. doi: 10.1016/0022-3468(92)90273-a.
10
"H-type" urethroanal fistula.“H型”尿道肛门瘘
J Pediatr Surg. 1977 Feb;12(1):95-102. doi: 10.1016/0022-3468(77)90302-5.