CAJ | 학술논문

目的：分析前矢状入路直肠肛门成形术在肛门闭锁中的应用效果。方法选取本院2010年10月~2013年10月诊治的肛门闭锁患者70例作为研究对象，将患者随机分为观察组与对照组，每组各35例。对照组采用常规结肠造瘘术，观察组采用前矢状入路直肠肛门成形术治疗。比较两组的术中出血量、住院时间、并发症发生率以及整体疗效。结果对照组中显效25例，有效9例，无效1例，总有效率为97.14%；观察组中显效22例，有效12例，无效1例，总有效率为97.14%。观察组的术中出血量明显少于对照组，住院时间明显短于对照组(P<0.05)。观察组中有1例发生切口感染，并发症发生率为2.86%，对照组中有6例(直肠回缩和肛门狭窄各1例，切口感染4例)发生并发症，并发症发生率为17.14%，观察组并发症发生率明显低于对照组(P<0.05)。结论前矢状入路直肠肛门成形术在肛门闭锁中具有良好的应用效果，值得临床推广应用。
목적：분석전시상입로직장항문성형술재항문폐쇄중적응용효과。방법선취본원2010년10월~2013년10월진치적항문폐쇄환자70례작위연구대상，장환자수궤분위관찰조여대조조，매조각35례。대조조채용상규결장조루술，관찰조채용전시상입로직장항문성형술치료。비교량조적술중출혈량、주원시간、병발증발생솔이급정체료효。결과대조조중현효25례，유효9례，무효1례，총유효솔위97.14%；관찰조중현효22례，유효12례，무효1례，총유효솔위97.14%。관찰조적술중출혈량명현소우대조조，주원시간명현단우대조조(P<0.05)。관찰조중유1례발생절구감염，병발증발생솔위2.86%，대조조중유6례(직장회축화항문협착각1례，절구감염4례)발생병발증，병발증발생솔위17.14%，관찰조병발증발생솔명현저우대조조(P<0.05)。결론전시상입로직장항문성형술재항문폐쇄중구유량호적응용효과，치득림상추엄응용。
Objective To analyze the application effect of anterior sagittal anorectoplasty in anal atresia. Methods 70 patients with anal atresia diagnosed and treated in our hospital from October 2010 to October 2013 were selected as the study objects,and they were randomly divided into the observation group and the control group,there were 35 cases in each group.The control group was given routine colostomy,and the observation group was given anterior sagittal anorec-toplasty.Intraoperative amount of bleeding,hospital stay,incidence rate of complication and the total curative effect of the two groups were compared. Results 25 cases were markedly effective,9 cases were effective,1 was invalid,and the total effective rate was 97.14% in the control group, 22 cases were markedly effective,12 cases were effective,1 patient, was invalid and the total effective rate was 97.14%.Intraoperative amount of bleeding in the observation group was signifi-cantly fewer than that in the control group,hospital stay in the observation group was significantly shorter than that in the control group (P<0.05).There was 1 case of incision infection in the observation group,the incidence rate of compli-cation was 2.86%,in control group,there were 6 cases (rectal retraction and anal stenosis in 1 case reapectively,incision infection in 4 cases) of complication,the incidence rate of complication was 17.14%,the incidence rate of complication in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Anterior sagittal anorectoplasty has a good application in anal atresia,it is worthy of clinical promotion and application.