CAJ | 학술논문

目的：比较腹骶会阴肛门成形一期手术与三期常规手术在治疗新生儿高位肛门直肠畸形中的疗效。方法回顾性分析本院收治的48例采用腹骶会阴肛门成形手术的新生儿先天性高位肛门直肠畸形患儿临床资料，分别采用一期手术（A组）和三期手术（B组）进行治疗，比较两组疗效。结果 A组21例均接受一期手术，2例失访，19例术后肛门功能优良率87．72％；B组27例中，肠造瘘后放弃后续手术或失访4例，23例全程完成三期手术，术后肛门功能优良率88．41％，两组疗效比较差异无统计学意义（P＞0.05）。结论选择性一期腹骶会阴肛门成形术治疗高位肛门直肠畸形同样可达到常规三期手术的效果，且有护理方便、病程短、费用低的优点。
목적：비교복저회음항문성형일기수술여삼기상규수술재치료신생인고위항문직장기형중적료효。방법회고성분석본원수치적48례채용복저회음항문성형수술적신생인선천성고위항문직장기형환인림상자료，분별채용일기수술（A조）화삼기수술（B조）진행치료，비교량조료효。결과 A조21례균접수일기수술，2례실방，19례술후항문공능우량솔87．72％；B조27례중，장조루후방기후속수술혹실방4례，23례전정완성삼기수술，술후항문공능우량솔88．41％，량조료효비교차이무통계학의의（P＞0.05）。결론선택성일기복저회음항문성형술치료고위항문직장기형동양가체도상규삼기수술적효과，차유호리방편、병정단、비용저적우점。
Objetive To discuss the curative effects on Sacral ventral perineal anoplasty between one-stage and three-stage operation for neonatal high imperforate anus. Methods 48 neonatal patients with con-genital high imperforate anus who underwent sacral ventral perineal anoplasty were retrospectively analyzed, then,the effects of one-stage surgery(group A)and three-stagesurgery(group B)were compared. Results In group A,21 cases accepted one-stage operation,2 cases among them missed,the postoperative anal function re-covery good rate of other 19 patients was 87.72%;in group B,27 cases accepted three-stage operation,4 cases among them give up treatment or lost to follow-up after intestinal colostomy,23 patients underwent three-stage operation successfully,postoperative anal function recovery good rate was 88.41%.No statistical difference was found between two groups of curative effects(P>0.05 ). Conclusion The one-stage sacral ventral perineal anoplasty for high imperforate anus can achieve the alike effect of the three-stage operation,and also has the advantages of nursing convenient,short duration,and low cost.