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目的分析新生儿中、高位无肛一期肛门成形术的可行性及其手术要点。方法总结自2002年以来一期肛门成形术治疗21例新生儿中、高位无肛的手术方法和治疗结果。结果 21例新生儿中、高位无肛经一期肛门成形手术治疗后均无便秘,1例黏膜外翻伴有污便,2例偶有污便,其余病例无排便失禁。结论新生儿期行一期肛门成形术虽然手术难度较大,但可以免除分期手术的麻烦,无需行肠造瘘、不需要做尾状成形,使括约肌早期不断延长增生,可预防继发性巨结肠的发生。
Objective To analyze the feasibility and the main points of operation of an anus angioplasty in middle and high neonates without anus. Methods A total of 21 cases of middle and high anorectal surgery and treatment of anus since the first anoplasty in 2002 were summarized. Results There were no constipation in middle and high anorectomies after one-stage anoplasty in 21 newborns. One case had smear of mucous membrane and two cases of occasional stool. The others were without defecation. Conclusion In the neonatal period, stage I anal angioplasty is more difficult to perform, but it can relieve the trouble of staging, without the need for bowel fistulation, caudal forming, prolonging the proliferation of sphincter in the early stage and preventing secondary giant Occurrence of colon.