改良Pea手术一期治疗新生儿中高位肛门闭锁62例

目的探讨一期改良Pena手术治疗新生儿中高位肛门闭锁的临床疗效。方法 2004年1月至2010年12月我们对62例先天性中高位肛门闭锁新生儿采用一期改良Pena肛门成形术,术后随访6个月至7年,采用Kelly临床评分标准评价肛门功能,判断疗效。结果 62例中,失访或放弃二期手术5例,术后肛门功能评定优良率91.3%。结论改良一期Pena手术治疗中高位肛门闭锁同样可以达到经典三期Pena手术的效果,有创伤小,费用低,护理方便等优点。

Efficacy of modified Pen~a operation in the treatment of neonatal high imperforate anus:a report of 62 ;cases

Objective To employ modified one-stage Pena operation in the treatment of neonatal high a-nal atresia and observe its clinical efficacy. Methods A total of 62 neonates of congenital imperforate anus underwent modified Pena anoplasty.During a postoperative follow-up period of 6 months to 7 years,Kelly’s clinical criteria were used for judging anal functions. Results Five cases were lost to follow-ups or gave up second-phase operations.The excellent rate of postoperative anal function was 91 .3%. Conclusions Modified one-stage mini-invasive Pena operation of high anal atresia can achieve the comparable outcomes of three-stage classic Pena operation.It has lower costs and convenient nursing.