前矢状入路直肠肛门成形术在无肛直肠前庭瘘的应用

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1、前矢状入路直肠肛门成形术在无肛直肠前庭瘘的应用第6卷第5期2000年5月仃北区学H既IMEDINEVOI.6,No.5May..2000性为89.5+目前认为其在急性下壁合并右室心肌梗塞中的诊断价值仅次于右胸导联ST段抬高.②下壁梗塞患者若出现sTV.+/aVF十≤0.5往往也提示右室梗塞的可能+文献报道其敏感性为79～82t特异性为88.2,说明该指标对右室梗塞亦具有较好的诊断价值参考文献:[1jMittalSR.GargS,LalgarhiaMJugularVenousPressureandPulsewaveforminthediagnosi~ofrightventricular

2、}一号:...一:..:.∞.一..一..infarction[J].1ntJCardiol+1996+53(3):253[2]赵美华,荣烨之,馀惠芬+等.右室心肌梗塞19例临床分析EJ3.临床内科杂志+1994+11(4):18[3]MadiasJE.MahjoubM.Wi/etilakaR-Standard12一leadECG,,erNu$spej:ialchestleadsinthedjagnossofrightventricularmyocardialinfarctionD].AmJEmergMed,l997+15(1):89[43马坚+王玉山,高润霖.急性下壁心肌梗塞时sT

3、V下降/STaVF抬高比值对右室梗塞的诊断价值[J].临床心血营精杂志,1995,]1(2):104?前矢状人路直肠肛门成形术在无肛直肠前庭瘘的应用郑练',刘国华-—''_—'～,''''-_一(1.汕头大学医学院第一附属医院小儿外科,广东汕头515041)(2.上海第二医科大学附属新华医院小儿外科,上海200092)④搐翼:目的:探计应用前戋状八路直晒肛门成形术治疗肛门闭铀直肠前庭疼的临床价值.方法:总结我院1994～1999年收治的16侧肛门闭锁直肠前庭疼临床资料.?采用前矢状八路直肠肛门成开j术治疗肛门闭锁直肪前庭瘿16侧.结果:本组16侧术后获随访2月～5年+按李正评分法,肛

4、门功能临床评分选优13侧+良3倒;切口感染1侧.结论:本方法操作简单一啊手术获得成功一不损伤耻骨直肠肌+术后排便控制能力优良,会阴外观正常+无瘿管复发+疗效满意,是治疗肛门闻铀直肠前庭疼较佳的手术方式.关键调:直肠中圈分娄号:R657.1门成形术}文献标识码BAnteriorsagittalan0rect0IlIastyinimperforateanuswithrec—t0vestibularfistulaZHENGLian.LIUGUO—hua(1.FffAffiliatedHospitalofShantouUniwrsityMedicalCollege,Got~gdongShan

5、tou515041,China)(2.XinHuaHospitalAffiliatedSecondShanghaiMedicalUniversity,Shanghai200092,Cina)Abstract:Objective:Toevaluatetheefficacyofanteriorsagittalanorectoplastyinimperforateanuswithrectovestibularfistula.Methods:From1994tO1999,16casesofimperforateanuswithrec—tovestibu[arfistulatreatedbya

6、nteriorsagittalanorectop[astywasreviewed-Results:16caseswithanteriorsagittalanorectoplastywerefollowed—upfor2monthstO5years.Thefunctionwasas—sessedapplyingtheclinicalscoringsystemsofLiZheng-Thatwascategorizedasgood(13cases)andfair(3cases).1casewithinfectiveineis;on.Conclusions:AsASARPissimpleri

7、nthechildren,andallourpatientsofimperforateanuswithrectovestibularfistualhadanormalperimeumandbowelhabitsaftersurgery.itisconcludedthatASARPisafeasibletreatmentforimperforateanuswithrectovestibuIarfistula.Keywords:Anoreetalmalform