直肠粘膜遮盖修复小儿后天性肛前瘘

REPAIR OF ACQUIRED PREANAL FISTUI A IN CHILDHOOD BY RECTAL MUCOSA COVERAGE

作者用直肠粘膜遮盖修复小儿后天性肛前瘘18例,手术效果满意,文内所介绍的手术方法是在直肠内进行,不会损伤会阴体,肛门括约肌和阴道后壁,会阴无瘢痕,手术简单,安全,术后肛门功能良好。

Eighteen paticnts (17 females and 1 male ) with acguired preanal fistula were treated surgically. The ages ranged from 4 months to 12 years. Their locations were between the anorectum and the vestibulum (12 cases), the anorectum and the labia (2 cases), the anorectum and the vagina (3 cases), and the anorectum and the urethra (1 case). All of them were tueated by intraectal repair. The surgical procedures were briefly discused. The operation could be used in all types of acquired preanal fistula and has no danger of trauma to the anal sphincter and posterior vaginal wall. A long term follow-up study of 7 patients showed that there was a cure in 18 cases with normal function.