| 先天性肛门直肠畸形的临床特征及预后研究 |
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| 引用本文： | 高威,李静,刘翔,左伟,朱飞.先天性肛门直肠畸形的临床特征及预后研究[J].安徽医科大学学报,2018,53(2):316-318. |
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| 作者姓名： | 高威 李静 刘翔 左伟 朱飞 |
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| 作者单位： | 安徽医科大学第一附属医院整形外科,合肥 230022;安徽省儿童医院新生儿外科,合肥 230059;安徽中医药大学公共卫生与全科医学教研室,合肥,230038;安徽省儿童医院新生儿外科,合肥,230059;安徽医科大学第一附属医院整形外科,合肥,230022 |
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| 基金项目： | 安徽高校人文社会科学研究项目(SK2017A0234) |
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| 摘 要： | 回顾性分析276例先天性肛门直肠畸形患儿的临床特征、预后及其影响因素.低位畸形171例,中高位畸形105例,139例患儿合并其他先天畸形,253例患儿实施了手术治疗,成功随访210例,Kelly评分显示139例患儿术后肛门功能优,41例良,30例差.中高位畸形、合并其他畸形以及成形次数多是影响患儿术后肛门功能的主要危险因素.
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| 关 键 词： | 先天性肛门直肠畸形 临床特征 预后 影响因素 |
Clinical features and prognosis of anorectal malformation patients |
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| Abstract: | 276 cases of congenital anorectal malformation in children with clinical features, prognosis and its influencing factors were retrospectively analyzed. 171 cases were low anorectal malformation. 105 cases were middle or high anorectal malformation. 139 cases were combined with other congenital malformations. 253 cases were performed by surgical treatment. 210 cases were followed-up and anal defecation function was assessed by Kelly scoring system. 139 were excellent cases, 41 were fair cases and 30 were poor cases. Middle or high anorectal malformation, complicated with other malformations and more than one times of anoplasty were the main risk factors influencing the anal defecation function. |
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