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探讨肛门闭锁短结肠联合征诊治中的若干问题。方法作者对1986年5月以后诊断治疗的14例患儿的临床资料进行回顾性分析,观察发现12例患儿存在肠乐膜下血管,并对其采用了短结肠的管状成形术和袖套状翻转结肠肌层的肛门成形术。结果手术病人7/13(54%)存活,新生儿2/7(28.6%)存活,幼儿患者5/6(83%)存活。新生儿病人,术式未改进前病人死亡率高,效果差。幼儿及术式改良后死亡率明显下降,效果明显改善。结论及时正确诊断,新生儿期结肠造口、幼儿期行短结肠管状成形及末端肌层袖状翻转肛门成形术能明显改善患儿预后。
To discuss some problems in the treatment of short colorectal analectomy. Methods The clinical data of 14 children diagnosed and treated after May 1986 were retrospectively analyzed. We found that there were 12 cases of infrarenal submucosal vessels, and they were treated with short colon tubular and sleeve Anal flipping of the colon myometrium. Results Surgical patients survived 7/13 (54%), neonates 2/7 (28.6%) survived and young children 5/6 (83%) survived. Neonatal patients, before surgery to improve the high mortality of patients, the effect is poor. The mortality rate after the improvement of toddler and operation was obviously decreased, the effect was obviously improved. Conclusion timely and correct diagnosis of neonatal colostomy, early childhood tuberculoma and distal myomectomy sleeve anus angioplasty can significantly improve the prognosis of children.