先天性肛门闭锁手术治疗26例分析

Analysis of 26 Cases of Surgical Treatment for Congenital Anal Atresia

目的探索手术治疗先天性肛门闭锁的方法。方法收集该院2008年4月—2012年10月收治的26例肛门闭锁患儿的治疗情况并进行分析。结果对器官发育较为完全的6例低位闭锁患者,一期手术根治;中高位伴随肠道异常的13例患儿,对手术中的异常瘘管实行瘘管切断,统一从结肠造口,择期进行二期手术均取得很好疗效;一例高位闭锁患者就诊不及时导致消化道穿孔,结肠弥漫性炎症,手术后因感染死亡。结论选择的造瘘手术时机和措施按先天性肛门闭锁程度不同而异。

Objective Explore surgical treatment methods for congenital anal atresia. Methods Collect cases accepted by our hospital from April 2008 to October 2012. 26 cases of congenital anal atresia were analyzed for surgical treatment. Results 6 cases of organ development low atresia patients more perfect, a period of radical operationIn 13 cases of children with high with intestinal abnormalities, the fistula of abnormal operation of cutting off the fistula,unity from the colostomy, scheduled for two stage operation were a very good effect; A case of high does not lead to timely treatment of patients with digestive tract perforation,colon diffuse inflammation, aperation after the infection of death. Conclusion Surgical timepoint for ostomy surgery and specific handling depends on degree of congential anal atresia of certain patient.