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目的:探索中间位先天性肛门闭锁的手术治疗方法和疗效。方法:分析一期Pena术治疗中间位先天性肛门闭锁36例临床资料,总结术后疗效并随访其排便功能。结果:36例患儿均一次手术成功,无死亡病例,所有病例术后均获得随访,随访时间半年至2年,结果优32例,占88.9%,良4例,占11.1%,差0例,无大便完全失禁及瘘管复发病例。结论:一期Pena术治疗中间位先天性肛门闭锁术中暴露好,肛门失禁、肛门狭窄发生率低,是一种可靠、成熟的手术方法。
Objective: To explore the surgical treatment of congenital anastomosis and efficacy. Methods: To analyze the clinical data of 36 cases of congenital ananior atresia in the first phase of Pena operation, summarize the curative effect and follow up the defecation function. Results: All the 36 cases were operated successfully without any deaths. All cases were followed up for 6 months to 2 years. The results were excellent in 32 cases (88.9%), good in 4 (11.1%) and poor in 0 , No case of complete incontinence and fistula recurrence. Conclusion: The first phase of Pena surgery in the treatment of congenital anus anal atresia good exposure, incontinence, anal stenosis rate is low, is a reliable and mature surgical method.