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詹江华1,罗喜荣2,胡博3,赵林胜3,朱倩仪4
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詹江华1 ,罗喜荣2 ,胡博3 ,赵林胜3 ,朱倩仪4 . 倒“Y”字皮瓣在先天性无肛合并会阴瘘手术中的应用[J]. .
摘要: 先天性肛门直肠畸形是小儿外科常见的消化道畸形,发病率约为1/1 500~1/5 000;肛门手术的原则是在保证肛门功能前提下,简单美观。笔者在传统的后切手术基础上进行改良,采用倒“Y”字皮瓣肛门成形术,同时切除直肠后壁及部分内括约肌,将保留的皮瓣插入到直肠内,术后肛门周围皮肤向内回缩,新肛门外观良好,无肛门功能障碍发生,报告如下。
关键词: 外科皮瓣, 肛门闭锁, 先天畸形, 会阴瘘
Abstract: Abstract: Objective: To evaluate clinical significant of the reverse “Y”skin flap anoplasty treats perineal fistula in infants and discuss the pathologic evidence. Methods: A retrospective chart review was performed on 29 patients (male: 25, female: 4) who were treated for the reverse “Y” skin flap anoplasty in our hospital between January 2008 and June 2010. Results: We fellow-up the patients for 6 months till 2 years. Overall, 93.1% of this group experienced good results. The new anus looks good, there is no constipation, prolapsed, soiling and incontinence happened in our group. Conclusions: The reverse “Y”skin flap anoplasty is easy to do, the new anus looks good, and the anal function recovers smoothly.
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链接本文: https://www.tjyybjb.ac.cn/CN/
https://www.tjyybjb.ac.cn/CN/Y2011/V39/I12/1153