【摘要】 目的 探讨改良前矢状入路会阴肛门成形术治疗女童无肛前庭瘘的可行性。方法 回顾性分析15例采用改良前矢状入路会阴肛门成形术(改良手术组)的无肛前庭瘘患儿的围手术期情况及术后随访情况,并与由同组手术人员完成的15例传统前矢状入路会阴肛门成形术(传统手术组)进行比较。结果 2组间手术时间和瘘管损伤发生率差异无统计学意义(P>0.05);改良手术组术中阴道损伤发生率明显低于传统手术组(P<0.05)。术后第1、3、6个月随访显示改良手术组肛管静息压均较传统手术组略低,但差异无统计学意义(P>0.05);污粪发生率2组间差异无统计学意义(P>0.05)。结论 改良前矢状入路会阴肛门成形术治疗无肛前庭瘘取得了与传统手术相似的术后排便功能,同时最大程度地保护了阴道,是切实可行的。更多还原

【Abstract】 Objective To explore the feasibility of modified anterior sagittal anorectoplasty(MASARP) for anovestibular fistula(AVF) in girls.Methods 15 girls with AVF treated by MASARP(MASARP group) were analyzed retrospectively.And we took 15 cases of anterior sagittal anorectoplasty(ASARP grpup) in our hospital as control.Perioperative situations and postoperative follow-up cases between the two groups was compared.Results No significant difference was found in operation time and fistula injury incidence between the two groups(P> 0.05).Vaginal injury incidence of MASARP group was significantly lower than ASARP(P <0.05).1,3,6 month follow-up show that anal resting pressure of MASARP was slightly lower than that of ASARP group,but the difference was not statistically significant(P> 0.05).At the same time,the incidence of fecal pollution between the two groups has no significant statistical difference(P>0.05).Conclusions MASARP is a feasible technique for treatment of AVF in girls,which effectively protects the vaginal and gets a good bowel function after surgery.更多还原