前矢状入路直肠肛门成形术在无肛直肠前庭瘘的应用

目的：探讨应用前矢状入路直肠肛门成形术治疗闭锁直肠前庭瘘的临床价值。方法：总结我院１９９４～１９９９年收治的１６例肛门闭锁直肠前庭瘘临床资料。采用前矢状入路直肠肛门成形术治疗肛门闭锁直肠前瘘１６例。结果：本组１６例术后获随访２月～５年，按李正评分法，肛门功能临床评分达优１３例，良３例；切口感染１例，结论：本方法操作简单，一期手术获得成功，不损伤有直肠肌，术后排便控制能力优良会阴外观正常，无瘘管复发

Anterior sagittal anorectoplasty in imperforate anus with rectovestibular fistula

Objective:To evaluate the efficacy of anterior sagittal anorectoplasty in imperforate anus with rectovestibular fistula.Methods:From 1994 to 1999,16 cases of imperforate anus with rectovestibular fistula treated by anterior sagittal anorectoplasty was reviewed.Results:16 cases with anterior sagittal anorectoplasty were followed up for 2 months to 5 years.The function was assessed applying the clinical scoring systems of Li Zheng.That was categorized as good(13 cases)and fair(3 cases).1 case with infective incision.Conclusions:As ASARP is simpler in the children ,and all our patients of imperforate anus with rectovestibular fistual had a normal perimeum and bowel habits after surgery,it is concluded that ASARP is a feasible treatment for imperforate anus with rectovestibular fistula.