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題名 | Anorectal-Vestibular Fistula without an Imperforate Anus in Female Infants: Report of Three Cases=肛門直腸與外陰前庭間廔管發生於未合併無肛症之女嬰:三病例報告 |
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作者 | 李淵順; 朱世明; 駱志誠; 黃振盛; 薛純; | 書刊名 | 長庚醫學 |
卷期 | 28:6 2005.06[民94.06] |
頁次 | 頁421-424 |
分類號 | 417.6244 |
關鍵詞 | 肛門直腸與外陰前庭間廔管; 無肛症; Anorectal-vestibular fistula; Imperforate anus; |
語文 | 英文(English) |
中文摘要 | 發生於未合併無肛症之女嬰的肛門直腸與外陰前庭間廔管在臨床上是很罕見•在此我們提出三個病例為三位女嬰皆同時擁有一個正常的肛門以及一個肛門直腸與外陰前庭間交通的廔管。三個病例皆是以外陰部大陰唇紅腫合併前庭肛門廔管出現含有糞便之化膿分泌物。根據我們的經驗,雙管腸造口手術接續使用廔管切除術是安全且可根治的治療方式。在此我們也同時回顧醫學文獻討論可能的病理機轉及治療方針。 |
英文摘要 | An anorectal-vestibular fistula without an imperforate anus in female infants is a rare clinical condition. This report is based on a series of 3 female infants who had fistulous communication between the bowel and the vestibule coexisting with a normal anus. Redness of the external genitalia over the labia major was the initial symptom in all 3 cases, and a suppurative discharge of pus mixed with stools was also found at the orifice of the fistula. Based on our experience, initial surgery with a double-barrel colostomy followed by a sequential fistulectomy might be safe and curative. We also review the related literature for the pathogenesis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。