前言目的:探讨小儿不全性
肛门失禁的手术修复方法及效果。方法:6例不完全性肛门失禁儿童患者,年龄4岁~11岁,均采用肛门外括约肌残存断端缝合重建外括约肌功能,5例行邻近皮瓣转移、1例V-Y推进重建肛周皮肤及会阴体形态。结果:所有患儿术后肛门外形及效果满意,能自主控制大便。随访4~24个月,无任何并发症发生。结论:肛门外括约肌移位残端修补并邻近皮瓣转移,手木简单、合乎生理,是不全性肛门失禁手术治疗方法的良好选择。
Objective:Todiscribethesphincterrepairinthemanagementofchildrenwithpartialfecalincontinence.Methods:Sixgirlpatients,agedfrom4-11yearsold,withpartialfecalincontinencewasreceivedwithanalexternalsphincterrepair.Islandflapsneartheanalwereemployedin5patientsandtheremainingonewasgivenV-Yadvancmentflaptoreconstructtheperineum.Results:Completefecalcontinencewasachievedinallthepatients.During4-24monthsfollwing-up,allthepatientsregaine...