大臀筋による肛門括約筋再建術の1例

概要

論文の詳細を見る
A 9-year-old boy had been incontinent following repair of the high type anomaly of anorectal malformation. Therefore, construction of a rectal sphincter using the gluteus maximus muscle was performed on this patient. The result of bowel control after the operation was analyzed from the points of clinical assessment, barium enema study, manometric study, and electromyography. This patient achieved fair fecal continence (3 points of the Kelly's score) 5 months postoperatively. Postoperative barium enema study showed a moderate anorectal angulation. Normal anal resting pressure and adequate voluntary squeezing pressure were found postoperatively. Postoperative electromyography showed a tonic electrical activity of the perianal muscle. These results suggests that fecal continence was achieved following sphincter reconstruction utilizing the gluteus maximus muscle clinically and objectively. However, longterm follow-up should be continued.
日本小児外科学会の論文
1985-10-20