女婴消化道双重末端的临床探讨

Double Termination of Alimentary Tract in Female Infants

1960年Bryndorf首例报道消化道双重末端(Double termination of the alimentary tract)之后,在印度^((1))、日本^((2))均续有报道,亚洲地区较西方国家为多见,我国应不例外,但在国内文献中应用'炎性直肠前庭瘘'^((3、4))、'后天性直肠外阴瘘'等名称,实则是同一类病例.

49 female cases with double termination of the alimentary tract were treated during the period 1963-1984.After the surgical reparing,of the anorectal-vestibular fistula,38 cases healed by first attention and 5 cases by second attention.The other 5 cases underwent another repairing,in 2 of which the operation proved a failure.The total healing rate after single and second operation is 88% (43/49).Fistula recurred in 1 cases.The results show that the intra-rectal repair with prone position is superior to the other 3 procedures employed.According to the authors,it is a condition resulting from congenital deformity.