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先天性泄殖腔畸型-病例報告及文獻回顧

Congenital Cloacal Anomaly-Case Report and Literature Review

摘要


先天性泄殖腔畸型是一種少見而又複雜的畸型,須要外科手術去矯正。本文報導一五歲大女孩,患有此種畸型,其在一歲時雖做過肛門成形術,但六年來一直有大便失禁的現象;又其六年來另合併有泌尿道感染之併發症,使其深受其苦。由於近年來文獻中對此種病例之研究報導日漸增多,本病童在一次完成之陰道成形術及肛門重建術下,使得兩項痛苦均得到解決。

關鍵字

泄殖腔 肛門閉鎖 尿生殖竇

並列摘要


Congenital cloacal anomaly is a rare and complicated congenital malformation which requires surgical correction. We report a 5-year old girl with this anomaly who has suffered from stool incontinence due to a failed anorectoplasty at 1-year-old and frequent urinary tract infection, a well-knowledged complication associated with this anomaly. After review of all the reported experience in dealing with this anomaly, we successfully treat this girl with an planned one-stage reconstructive operation including vaginoplasty, re-do anorectoplasty and resection of vaginal septum with a cystoscope.

並列關鍵字

Cloaca Imperforate anus Urogenital sinus

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