幼儿先天性肛门闭锁舟状窝瘘手术治疗的效果观察

Effect of Scaphoid Fistula Surgical Treatment for Congenital Imperforate Anus in Children

目的对先天性肛门闭锁的患儿采用舟状窝瘘手术治疗的临床效果进行分析。方法选取2015年1月~2017年2月收治的35例先天性肛门闭锁的患儿作为研究对象,所有患儿均为出生后无肛门,存在舟状窝瘘,均给予闭锁舟状窝瘘手术治疗,分析其治疗效果和并发症的发生率。结果 35例患儿手术治疗顺利,术后1例出现了肛门感染,经对症处理后痊愈,其余患儿均治愈,无黏膜脱垂、大便失禁和肛门狭窄。术后进行随访,了解患儿肛门狭窄和直肠回缩的发生情况。结论舟状窝瘘手术治疗先天性肛门闭锁舟状窝瘘的效果较好,术后并发症少,患儿恢复较快,效果明显,值得临床推广。

Objective To discuss the effect of scaphoid fistula surgical treatment for congenital imperforate anus in children. Methods Thirty-five children with congenital imperforate anus received scaphoid fistula surgical treatment were enrolled in this study. The treatment effect and complication rate were analyzed. Results Surgical treatment was successful in 35 cases. Postoperative infection of anus occurred in 1 case and recovered after symptomatic treatment. The other patients were cured without mucosal prolapse, fecal incontinence and anal stenosis. Postoperative follow-up was performed to investigate the incidence of anal stenosis and retraction of the rectum. Conclusion The operation of the scaphoid fistula for congenital imperforate anus was effective, with less complications, quicker recovery, obvious effect, and worthy of clinical promotion.