CAJ | 학술논문

目的探讨一种会阴部先天性畸形的诊断和治疗方法.方法研究该病的临床症状,以对该畸形进行诊断,2009年1月至2013年2月共收治7例患儿,对其中的4例采用会阴部对偶三角瓣进行治疗,在会阴部裂隙两侧做2个三角瓣,交错修复缺损;3例沟比较浅的患儿家长拒绝手术,故未行处理而继续观察.结果该病表现为从会阴正中至肛门处有一道裂口,内有黏膜组织.进行手术的4例患儿术后恢复好,无感染,均一期愈合,会阴部裂隙消失,无明显瘢痕,其中有1例会阴沟部稍有隆起,其余外形均满意,随访1～4年,会阴外形趋于正常.结论通过对本组7例患儿临床表现的观察,该病可诊断为会阴正中裂.会阴部对偶三角瓣可以有效地去除会阴沟畸形,较好地修复女性会阴部的结构.
목적 탐토일충회음부선천성기형적진단화치료방법.방법 연구해병적림상증상,이대해기형진행진단,2009년1월지2013년2월공수치7례환인,대기중적4례채용회음부대우삼각판진행치료,재회음부렬극량측주2개삼각판,교착수복결손;3례구비교천적환인가장거절수술,고미행처리이계속관찰.결과 해병표현위종회음정중지항문처유일도렬구,내유점막조직.진행수술적4례환인술후회복호,무감염,균일기유합,회음부렬극소실,무명현반흔,기중유1례회음구부초유륭기,기여외형균만의,수방1～4년,회음외형추우정상.결론 통과대본조7례환인림상표현적관찰,해병가진단위회음정중렬.회음부대우삼각판가이유효지거제회음구기형,교호지수복녀성회음부적결구.
Objective To discuss the treantment and diagnosis of congenital median perineal cleft in children.Methods Between January 2009 to February 2013,7 cases were diagnosed as congenital median perineal cleft according to the symptoms.Among them,4 cases underwent surgery to correct cleft with double triangular perineal flaps.The other 3 cases with minor cleft did not receive surgery management.Results There is an median cleft from the perineum to the anus with mucosa on the cleft surface.Primary healing was achieved in all the four patients with satisfactory appearance.The patients were followed up for 1-4 years with almost normal perineal appearance.Conclusions Congenital perineal median cleft can be diagnosed according to the symptoms.Double triangular perineal flaps can be effectively correct the cleft to attain normal perineal appearance.