肛门闭锁术后残留直肠尿道瘘的治疗

目的 :探讨肛门闭锁术后残留直肠尿道瘘的手术方式及疗效。方法 :8例本病患儿 ,根据病变情况分别采用直肠内直肠尿道瘘修补及经腹会阴联合术式行乙状结肠部分切除、直肠粘膜剥离、瘘管结扎、结肠经直肠肌鞘内拖出肛门成形术治疗。结果 :术后全部治愈出院 ,随访 1～ 6年无复发 ,疗效满意。结论 :上述两种术式较其他术式具有修补牢靠、术式简单、不易复发等优点 ,是目前修补直肠尿道瘘较理想术式之一。

The treatment of the residual rectourethral fistula after the operation of imperforate anus

Purpose:To evaluate the operation way and clinical effect in detail of the residual rectourethral fistula after the operation of imperforate anus. Methods:8 cases of residual rectourethral fistula after the operation of imperforate anus were operated.According to the condition of the defect,two operative ways were taken:(1) transrectal route and (2) trans abdomino perineal route. Results: All the 8 cases were cured .No recurrence occured with in 1~6 years of follow up. The clinical effect of both operation was satisfactory. Conclusions: Compared with others, the two kinds of operation had the advantage of firm repairment, simple procedure and less recurrence rate. So they were satisfactory operation ways for rectourethrel fistula.