先天性肛门闭锁治疗体会

Treatment for patients with congenital anal atresia

目的探讨先天性肛门闭锁患者的临床治疗方案。方法选择2014年5月~2015年5月收治的35例先天性肛门闭锁患儿的临床资料,其中采用肛门成形术治疗的患儿共27例,采用结肠造瘘术治疗的患儿共3例,采用直肠造瘘扩张术的患儿共5例;回顾性分析并讨论所有研究对象临床治疗后的效果。结果 35例患儿康复率100.00%（35/35）,未出现死亡案例;其中出现肛门狭窄2例（5.71%）,瘘管复发1例（2.86%）。结论及早地诊断有助于先天性肛门闭锁患儿选择合适的手术时机以及有效的治疗方案,在一定程度上有助于降低术后并发症的发生率。

Objective To analyze the therapeutic regimen of patients with congenital anal atresia. Methods Thirty-five patients with congenital anal atresia were treated in our hospital from May 2014 to May 2015. There were twenty-seven patients treated with anoplasty, three patients used with colostomy,five patients treated with dilation of rectal fistula surgery. Retrospective analysis and discussion on the effect of clinical treatment of all the subjects. ResultsThe recovery rate of thirty-five patients was 100%（35/35）, no deaths occurred. There were 2 patients（5.71%） with anal stenosis, 1 patients（2.86%） with fistula recurred. Conclusion Early diagnosis of congenital anal atresia can help children choose appropriate timing of surgery and effective treatment options,it’s helpful to reduce the incidence of postoperative complications.