前矢状入路直肠肛门成形术治疗女婴无肛前庭瘘的疗效观察

Anterior sagittal anorectoplasty in imperforate anus with rectovestibular fistula.

目的评价前矢状入路直肠肛门成形术治疗女婴无肛前庭瘘的疗效。方法自会阴前矢状入路游离瘘口，游离直肠侧壁及直肠后壁，保留直肠末端瘘口不受损伤，保证瘘口内括约肌结构完整，使直肠末端置于外括约肌中心无张力重建会阴体，恢复女童正常会阴外观。结果本组86例一期手术获成功，经近远期随访，会阴体外观及肛门功能均达到满意的效果。结论前矢状入路直肠肛门成形术治疗女婴无肛前庭瘘，直视下重建肛门直肠，完整保留了直肠瘘口及直肠盲袋，获得了满意的排便功能。

Objetive To evaluate the efficacy of antierior sagittal anorectoplasty in imperforate anus with rectovestibular fistula. Methods The posterior wall and the side wall of the rectum was dealed with fully ; the patients continued to have rectal muscle sheath and rectal fistula; The terminal rectum was laid aside the center of the external anal sphincter , so the patients kept a normal perimeum. Results 86 patients were oper- ated successfully, all our patients of imperforate anus with rectov-estibular fistual had a normal perimeum and bowel habits after surgery by followed - up. Conclusion All patients of imperforate annus with rectovestibular fistula by sagittal continued to have rectal muscle sheath and rectal fistula and controlled bowel function well.