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以“後矢狀位肛門直腸成形術”治療高位肛門閉鎖症之經驗

Experience on Posterior Sagittal Anorectoplasty in Treating High Type Imperforate Anus

摘要


後矢狀位肛門直腸成形術是近年來被認為治療高位肛門閉鎖症的一種新手術。自1985到1989年間,我們共以此手術式治療九位這一類之病童,其中五例為原發性病例,另四例為以前曾經經過其他種肛門重建手術但仍有排便失禁之再次手術病例。這些病例皆被追蹤觀察六個月至五年不等。其中五例原發病例皆於手術後半年到四年內得到完全之肛門控制力,但在四例再次手術之患者中,僅有一例得到成功。在五個病例身上共發生八項次之併發症,其中六項次是屬於輕微之手術併發症,二項為重大併發症。在本篇報告中,我們提出我們對此項手術之經驗,並對手術後併發症之發生,進一步加以闡述。

並列摘要


Posterior sagittal anorectoplasy (P.S.A.R.P.) is thought to be an ingeniously designed procedure of treating high type imperforate anus. From 1985 to 1989, 9 patients underwent this procedure in our hospital: 5 as primary treatment, 4 for treatment of fecal incontinence following a prior pull-through procedure. Follow up of these cases last for 6 months to 5 years. All of the 5 primary cases obtained continence at 6 months to 4 years postoperatively. Only 1 of the 4 re-do cases resumed his continuance. Five patients developed 8 complications, included to be 6 minor and 2 major complications. In this report, we present our clinical experience on this procedure and describe the occurrence of complications.

並列關鍵字

Imperforte anus Anal sphincter

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