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目的:探讨Ⅰ期后矢状入路肛门直肠成型术治疗中高位肛门直肠畸形的方法和疗效。方法:对20例新生儿中高位肛门闭锁行Ⅰ期后矢状入路肛门直肠成形术,总结术后疗效并随访其排便功能。结果:无手术死亡,1例切口裂开,余恢复良好,术后随访半年至3年,5例污粪,4例便秘,2例直肠黏膜脱垂,3例肛门狭窄(未坚持扩肛),10例肛门收缩功能良好,无完全大便失禁出现。结论:Ⅰ期后矢状入路肛门直肠成形术治疗中高位肛门直肠畸形可缩短治疗时间、术后肛门功能恢复良好。
Objective: To explore the method and effect of stage Ⅰ sagittal anorectal anastomosis for middle and high anorectal malformations. Methods: Twenty cases of middle-high anterior atresia in neonates with primary anastomosis were treated with sagittal anorectal angioplasty in the first stage. The postoperative efficacy and follow-up of defecation were evaluated. Results: There was no operative death, 1 case of incision was ruptured and I recovered well. The patients were followed up for 6 months to 3 years, 5 cases of defecation, 4 cases of constipation, 2 cases of rectal mucosal prolapse, 3 cases of anal stenosis , 10 cases of anal contraction function is good, there is no complete fecal incontinence. Conclusion: Stage Ⅰ sagittal anorectal angioplasty in the treatment of high anorectal malformations can shorten the treatment time, anal function recovered well.