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目的探讨一期改良Pena手术治疗新生儿中高位肛门闭锁的临床疗效。方法 2004年1月至2010年12月我们对62例先天性中高位肛门闭锁新生儿采用一期改良Pena肛门成形术,术后随访6个月至7年,采用Kelly临床评分标准评价肛门功能,判断疗效。结果 62例中,失访或放弃二期手术5例,术后肛门功能评定优良率91.3%。结论改良一期Pena手术治疗中高位肛门闭锁同样可以达到经典三期Pena手术的效果,有创伤小,费用低,护理方便等优点。
Objective To investigate the clinical efficacy of a modified Pena operation for treating middle-high anterior atresia in neonates. Methods January 2004 to December 2010 62 cases of congenital anastomosis of the newborn with an improved Pena anal angioplasty, were followed up for 6 months to 7 years, using Kelly clinical evaluation criteria anal function, To determine the efficacy. Results Among the 62 cases, 5 cases lost or abandoned the second phase operation and the excellent and good rate of anal function was 91.3%. Conclusion The modified Pena operation for middle and high anus atresia can also achieve the effect of classical stage III Pena surgery with the advantages of less trauma, lower cost and convenient nursing.