天津医药

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倒“Y”字皮瓣在先天性无肛合并会阴瘘手术中的应用

詹江华1,罗喜荣2,胡博3,赵林胜3,朱倩仪4   

  1. 1. 天津市儿童医院
    2. 天津市儿童医院普外科
    3.
    4. tianjin Childrens hospital
  • 收稿日期:2011-03-17 修回日期:2011-05-19 出版日期:2011-12-15 发布日期:2011-12-15
  • 通讯作者: 詹江华

Using the reverse “Y” skin flap anoplasty treats perineal fistula in infants and discuss the theory evidence.

  • Received:2011-03-17 Revised:2011-05-19 Published:2011-12-15 Online:2011-12-15
  • Contact: jianghua zhan

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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.