[1]李亚萍,杨合英,李延安,等.经肛穴肛门成形术治疗女婴肛门闭锁直肠前庭瘘的效果[J].郑州大学学报(医学版),2019,(04):634-637.[doi:10.13705/j.issn.1671-6825.2018.11.046]
 LI Yaping,YANG Heying,LI Yan'an,et al.Efficacy of transanal acupoint anorectoplasty for newborn girls with anal atresia and rectovestibular fistula[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(04):634-637.[doi:10.13705/j.issn.1671-6825.2018.11.046]
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经肛穴肛门成形术治疗女婴肛门闭锁直肠前庭瘘的效果()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2019年04期
页码:
634-637
栏目:
应用研究
出版日期:
2019-07-20

文章信息/Info

Title:
Efficacy of transanal acupoint anorectoplasty for newborn girls with anal atresia and rectovestibular fistula
作者:
李亚萍杨合英李延安耿培硕丁 一常新捷祝永康高如月
郑州大学第一附属医院小儿外科 郑州 450052
Author(s):
LI YapingYANG HeyingLI Yan'anGENG PeishuoDING YiCHANG XinjieZHU YongkangGAO Ruyue
Department of Pediatric Surgery,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
关键词:
肛门直肠畸形 直肠前庭瘘 会阴体 经肛穴肛门成形术 肛门闭锁
Keywords:
anorectal malformation rectovestibular fistula perineal body transanal acupoint anorectoplasty anal atresia
分类号:
R726.5
DOI:
10.13705/j.issn.1671-6825.2018.11.046
摘要:
目的:探索经肛穴肛门成形术(TAARP)治疗女婴肛门闭锁直肠前庭瘘的临床价值。方法:回顾性分析61例肛门闭锁直肠前庭瘘女婴的临床资料,年龄均小于半岁。26例接受TAARP,35例接受前矢状入路肛门成形术(ASARP)。记录术后会阴体愈合、并发症发生情况; 术后2 a根据Krickenbeck国际评分评估患儿排便功能。结果:两组手术时间差异无统计学意义(P>0.05),TAARP组术后住院时间短于ASARP组(P=0.018)。TAARP组术后会阴体均顺利恢复正常外观,ASARP组7例发生会阴体相关并发症,差异有统计学意义(P=0.017)。TAARP组术后1周发生伤口感染1例,术后半年发生黏膜脱垂1例、肛门狭窄1例,并发症总发生率11.5%(3/26); ASARP组术后发生伤口感染4例,黏膜脱垂2例,肛门狭窄2例,直肠回缩1例, 并发症总发生率25.7%(9/35)。两组均发生轻度污粪便秘,TAARP组污粪、便秘发生率分别为3.8%、7.7%,ASARP组分别为8.6%、11.4%。两组并发症总发生率,污粪、便秘发生率比较,差异均无统计学意义(P>0.05)。结论:TAARP是一种安全可行的治疗女婴肛门闭锁直肠前庭瘘的方法。
Abstract:
Aim:To explore the feasibility of transanal acupoint anorectoplasty(TAARP)for the newborn girls with anal atresia and rectovestibular fistula.Methods:Clinical data of 61 newborn girls with anal atresia and rectovestibular fistula were studied retrospectively. A total of 26 cases accepted TAARP,and 35 cases accepted anterior sagittal anorectoplasty(ASARP).The incidences of defecation function 2 years after the operation were assessed by Krickenbeck international score, perineal body healing and postoperative complications were recorded.Results:There were no difference in operation time between the 2 groups(P>0.05),and postoperative hospitalization time of TAARP group was shorter than that of ASARP group(P=0.018).The perineal body recovered well after TAARP,7 cases of perineal complications occurred in ASARP group, and the difference between the two group was significant(P=0.017). In TAARP group, 1 case of wound infection occurred 1 week after the operation, 1 case of mucosal prolapse and 1 case of anal stenosis occurred 6 months after the operation, and the total incidence of complications was 11.5%(3/26). In ASARP group, 4 cases of wound infection,2 cases of mucosal prolapse,2 cases of anal stenosis, and 1 case of rectal retraction occurred,and the total incidence of complications was 25.7%(9/35). There was no significant difference in the total incidence of complications between the two groups(P>0.05).Mild feces and constipation occurred in both groups, and the incidences of feces and constipation were 3.8% and 7.7% in TAARP group,8.6% and 11.4% in ASARP group, and the differences between the two groups were not significant(P>0.05).Conclusion:TAARP is a safe and feasible method for newborn girls with anal atresia and rectovestibular fistula.

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备注/Memo

备注/Memo:
【作者简介】杨合英,通信作者,女,1964年10月生,硕士,主任医师,研究方向:小儿普外、小儿肿瘤、新生儿外科,E-mail:fccyanghy2@zzu.edu.cn
更新日期/Last Update: 2019-07-20