论文部分内容阅读
目的 探讨肛门直肠手术后黏膜外翻的手术治疗方法。方法 用肛门电刺激仪检测肛周肌肉发育及分布情况 ,如果肛周部分肌肉发育不良或缺损 ,修补外括约肌 ,将外括约肌包绕直肠缝合 ;如果肛周刺激全无收缩 ,须行尾路切开 ,找出肛门直肠括约肌环 ,将直肠包绕 ,再将肛门处外翻黏膜切除。结果 手术治疗肛门直肠术后黏膜外翻患儿 2 5例 ,术后再无黏膜外翻 ,无污染内裤现象。结论 手术治疗小儿直肠黏膜时要用肛门电刺激仪检测肛周括约肌的发育及分布情况 ,对于肛门括约肌不完整的必须进行修补 ,不能单纯采用外翻黏膜切除及扩肛 ,否则会再次出现黏膜外翻
Objective To discuss the surgical treatment of mucosal eversion after anorectal surgery. Methods Anus electrical stimulation test perianal muscle development and distribution, if the perianal part of the muscular dysplasia or defect, the repair of the external sphincter, the external sphincter around the rectum suture; if the perianal stimulation has no contraction, the end of the road must be cut Open, find the anorectal sphincter ring, the rectum wrap, and then anal valgus mucosa resection. Results Surgical treatment of anus and rectal mucosa in children after eustachment in 25 cases, no mucosal valgus after surgery, no pollution underwear phenomenon. Conclusion Surgical treatment of rectal mucosa in children with anal electrical stimulation to detect the development and distribution of perianal sphincter, the anal sphincter must be repaired incomplete, can not simply use the valgus mucosa resection and anus, or it will reappear mucosal turn