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首页> 外文期刊>World Journal of Gastroenterology >Congenital H-type anovestibuler fistula
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Congenital H-type anovestibuler fistula

机译：先天性H型无前庭瘘

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摘要

The congenital H-type fistula between the anorectum and genital tract besides a normal anus is a rare entity in the spectrum of anorectal anomalies. We described a girl with an anovestibuler H-type fistula and left vulvar abscess. A 40-day-old girl presented symptoms after her parents noted the presence of stool at the vestibulum. On the physical examination, anus was in normal location and size, and had normal sphincter tone. A vestibuler opening was seen in the midline just below of the hymen. A fistulous communication was found between the vestibuler opening and the anus, just above the dentate line. There was a vulvar abscess which had a left lateral vulvar drainage opening 15 mm left lateral to the perineum. After the management of local inflammation and abscess, the patient was operated for primary repair of the fistula. A protective colostomy wasn't performed prior the operation. A profuse diarrhea started after 5 hours of postoperation. After the diarrhea, a recurrent fistula was occurred on the second postoperative day. A divided sigmoid colostomy was performed. 2 months later, and anterior sagital anorectoplasty was reconstructed and colostomy was closed 1 month later. Various surgical techniques with or without protective colostomy have been described for double termination repair. But there is no consensus regarding surgical management of double termination.
机译：除正常肛门外，肛门和生殖道之间的先天性H型瘘管在肛门直肠异常范围内是一种罕见的实体。我们描述了一个女孩，她的前房瘘为H型瘘，左外阴脓肿。一名40天大的女孩在父母注意到前庭大便后出现症状。体格检查肛门处于正常的位置和大小，并且括约肌张力正常。在处女膜下面的中线看到一个门廊开口。在齿状线正上方的前庭开口和肛门之间发现了瘘管的连通。有一个外阴脓肿，其左侧会阴部引流口距会阴部左侧15 mm。处理局部炎症和脓肿后，对患者进行了瘘管的初步修复。术前未进行保护性结肠造口术。术后5小时开始大量腹泻。腹泻后，术后第二天发生瘘管复发。进行了乙状结肠造口术。 2个月后，重建了前弯肛门直肠成形术，并在1个月后关闭了结肠造口术。已经描述了具有或不具有保护性结肠造口术的各种手术技术用于双端修复。但是，关于双重终止的外科治疗尚无共识。

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