【摘要】 目的：研究的目的是探讨儿童肛门直肠损伤的外科处理原则。方法：１９８５～１９９９年作者治疗８例儿童肛门直肠损伤，详细分析了患儿的病历，对治疗问题和主要并发症作了评估。结果：１例直肠戳伤作了初期结肠造口，未发生并发症。４例肛门直肠损伤未作初期结肠造口，因创面感染，作Ⅱ期结肠造口。２例直肠损伤初期修补，未作结肠造口，未发生并发症。另一例作阴道直肠修补。结论：儿童肛门直肠损伤的外科处理原则是粪便转流、创面修补、引流和广谱抗生素的应用，然而，上述步骤不一定都要采用。我们的经验指出儿童肛门直肠损伤的外科处理应个别化更多还原

【Abstract】 ABSTRACT Objective:The purpose of this study was to establish guidelines of anorectal injuries in childhood. Methods: Eight children with anorectal injuries treated from 1985 to 1999, therapeutic problems and main complications are elucidated after meticulous analysis of such injuries.Results: In one case with Anorectal impalement and a primary colostomy, no complication occurred. In four cases with Anorectal injuries a primary fecal diversion was not performed, made a secondary co-lostomy necessary after wound infeetion. In two cases with Anorectal injuries aprimary wound clean and repair were performed a colostomy did not undergo,no complication occurred. another child with Anovestibule injury wound repair was performed at age of 5 yeras, no complication occurred. Conclusions: The current standardprinciples in the treatment of severe Anorectal injuries in children are fecal diversion, wound clean and repair, wound droinage as well as broad spectrum antibiotics, however,it is not always mantatory to perform all the above steps. The authors coaulde is that Anorectal injuries in children should be indiuidul management.KEY WORDS Anorectum; Injury;Colostomy更多还原