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为探讨各类先天性直肠瘘外科治疗的术式和手术时机，采用回顾性研究方法分析患儿的临床资料。结果显示：随防３个月～５年，该组９７例，治愈９２例（９４．９％），死亡１例（１．０３％），瘘管复发４例（４．２％），复发者均为正常肛门伴直肠舟状窝瘘者。结果提示：中、高位无肛伴直肠瘘，采用改良直肠内暴露瘘口保留直肠前壁瓣修补法，安全、简便、疗效佳。对低位无肛伴舟状窝瘘或会阴皮肤瘘，分别采用瘘管后移肛门成形术，和后切成形术，效果满意。经直肠内瘘口修补术为正常肛门伴直肠舟状窝瘘的首选术式。中、高位无肛伴直肠瘘和低位无肛伴舟状窝瘘根治手术年龄在６～１０个月为最佳时机。正常肛门直肠舟状窝瘘手术年龄为３～６个月。直肠会阴皮肤瘘任何年龄均可手术。
In order to explore the surgical treatment of various types of congenital rectal fistula surgery and timing of the use of retrospective study of children with clinical data. The results showed that with the prevention of 3 months to 5 years, 97 cases were cured, 92 cases (94.9%) were cured, 1 died (1.03%), 4 cases (4.2%) fistula recurred Are normal anus with rectal boat-shaped fistula. The results suggest that there is no anal anastomotic fistula in the middle and upper anastomoses. The modified anterior fistula of the rectum preserves the rectal wall flap repair, which is safe, simple and effective. On the low no anus with navicular fistula or perineal skin fistula, respectively, the use of fistula anus angioplasty, and posterior incision, the effect is satisfactory. Rectal fistula repair for the normal anus with reef-shaped fistula of the preferred surgical approach. In the high without anorectal fistula with low and no anus with the boat-shaped fistula surgery at 6 to 10 months for the best time. Normal anus rectal boat-shaped fistula surgery for 3 to 6 months. Rectal perineal skin fistula surgery at any age.