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目的 提高经多次手术失败的直肠尿道瘘、大便失禁的手术成功率。方法 按Pick rell术式或Hartle改良方法 ,压榨股薄肌支配神经后移转到肛门周围固定 ,行肛门外括约肌成形术共18列。结果 1989～ 1999年共治疗 3～ 15岁直肠尿道瘘伴大便失禁小儿 18例 ,结果 15例无漏尿 ,3例漏尿者也都在术后 5周内消失 ,大便失禁亦都有改善。 15例随访 7个月～ 6年 ,12例大便失禁明显改善。结论 用该法解决难以处理的直肠尿道瘘成功率高 ,大便失禁得到改善
Objective To improve the surgical success rate of rectal urethral fistula and fecal incontinence after multiple surgeries. Methods Pick rell surgery or Hartle improved method, after pressing the gracilis dominant nerve transfer to the perianal fixed, anal external sphincteroplasty a total of 18 columns. Results A total of 18 cases of rectal urethral fistula with feces incontinence were treated between 1989 and 1999, and 15 cases without leakage and 3 cases with leakage also disappeared within 5 weeks after operation, and fecal incontinence also improved. 15 cases were followed up for 7 months to 6 years, 12 cases of fecal incontinence improved significantly. Conclusion This method to solve difficult to treat rectal urethral fistula high success rate, fecal incontinence is improved