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目的:探讨改良后矢状入路肛门直肠成形术(posterior sagittal anorectoplasty,PSARP)治疗先天性肛门直肠畸形的手术方式及治疗效果。方法:对南京医科大学附属南京儿童医院1995年1月～2009年6月收治的129例先天性肛门直肠畸形采用改良PSARP进行矫治,并在术后进行随访。结果:所有患儿均痊愈出院。近期并发症包括1例切口感染,经换药后好转。获访的112例患儿中,远期并发症包括大便失禁4例(3.6%);便秘9例(8.0%),其中2例继发性巨结肠再次手术痊愈;污粪9例(8.0%),无肛门狭窄及无排尿异常,生长发育与同龄儿无差异。结论:改良PSARP治疗先天性肛门直肠畸形,疗效满意。
Objective: To investigate the surgical approach and therapeutic effect of modified sagittal anorectoplasty (PSARP) for the treatment of congenital anorectal malformations. Methods: 129 cases of congenital anorectal malformations admitted to Nanjing Children’s Hospital Affiliated to Nanjing Medical University from January 1995 to June 2009 were treated with modified PSARP, and were followed up after operation. Results: All children were cured and discharged. Recent complications include an incision infection, improved after dressing change. Among the 112 children visited, 4 cases (3.6%) had fecal incontinence, 9 cases (8.0%) had constipation, and 2 cases recovered from secondary Hirschsprung’s disease. Nine cases (8.0% ), No anal stenosis and no dysuria, growth and development no difference with the same age. Conclusion: Modified PSARP treatment of congenital anorectal malformation, satisfactory results.