CAJ | 학술논문

目的探讨经会阴(大-W)手术方法治疗中、低位肛门直肠畸形(AA)的价值,对其长期疗效进行评价.方法对46例中、低位AA患儿进行经会阴(大-W)肛门成形术.包括充分保留直肠末端的瘘管结构,保证直肠末端从由耻骨直肠肌、肛门外括约肌组成的横纹肌复合体中心拖下,会阴倒V形皮瓣应用.术后随访时间平均7年2个月.按照修订的WingspreadScoring肛门功能评分标准评估排便功能.结果除1例中位畸形伴其他畸形,肛门功能较差外,余患儿肛门功能均良好.结论经会阴(大-W)AA术治疗中、低位AA简便易行,因保留瘘管末端,且对控制排便的有关结构损伤少,长期随访效果满意.
목적탐토경회음(대-W)수술방법치료중、저위항문직장기형(AA)적개치,대기장기료효진행평개.방법대46례중、저위AA환인진행경회음(대-W)항문성형술.포괄충분보류직장말단적루관결구,보증직장말단종유치골직장기、항문외괄약기조성적횡문기복합체중심타하,회음도V형피판응용.술후수방시간평균7년2개월.안조수정적WingspreadScoring항문공능평분표준평고배편공능.결과제1례중위기형반기타기형,항문공능교차외,여환인항문공능균량호.결론경회음(대-W)AA술치료중、저위AA간편역행,인보류루관말단,차대공제배편적유관결구손상소,장기수방효과만의.
Objective To explore a technical modification by transperineal Da- W anorectoplasty (Da WARP) on treating low, intermediate anorectal anomalies(AA) and to evaluate the results of long - term follow up. Methods Forty six cases of AA underwent a Da-W ARP,which involved preservation of the rectal end of the fistula and invagination of the perineal skin flap through the neoanus.The clinical records were reviewed and analyzed retrospectively. Results The median follow - up period was 7 years and 2 months. All of them achieved a good fecal continence exception of 1 patient with intermediate AA and associated anomaly,had fair result. Conclusions The Da - WARP is relatively simple and practical methods for surgical treatment of low, intermediate AA, with good long - term results.