目的：探讨物理治疗在新生儿经会阴肛门形成术中的治疗效果，提高护理质量。方法：将103例新生儿肛门直肠畸形患儿，随机分为实验组和对照组，对照组实施常规护理治疗。实验组在常规护理治疗基础上，实施物理治疗。结果：物理治疗实验组患儿肛周的局部红肿情况明显低于对照组（P＜0.05），实验组患儿的平均住院日较对照组明显缩短（P＜0.05）。结论：物理治疗能降低新生儿经会阴肛门成形术术后并发症的发生率，缩短住院天数，降低医疗费用，提高护理质量。
目的 探讨直肠癌根治性切除后用臀大肌瓣与弹性金属环行肛门成形的疗效及其在肿瘤局部治疗中的意义。方法 对34例中下段直肠癌在根治性切除后，利用自体臀大肌瓣加弹性金属环行会阴肛门成形，以代替切除的括约肌，使患者仍保持术后由会阴部排便。结果 手术成功30例，失败4例。按患者术后排便感觉、排便次数及排便预感等主观感觉划分，术后效果优者10例（33．3%），良者16例（53.3%），差者4例（13.3%）。术后随访6个月～6年，其控制大便优良率为76.7%（23/30），术后1年生存率为100%，3年为82.4%（28／34），5年为58.8%（20／34）。结论 臀大肌瓣加弹性金属环行肛门成形术术式对部分患者，特别是不愿意行腹壁人工肛门的直肠癌患者具有一定实用价值，值得推广应用。
ObjectiveTo investigate the effectiveness of posterior sagittal anorectoplasty (PSARP) and total urogenital mobilization in treatment of cloacal malformation. MethodsThree girls with cloacal malformation were admitted between June 2010 and June 2013. The age was 2 years, 5 months, and 4 months, respectively. All patients received previous separated sigmoid colostomy. PSARP and total urogenital mobilization were performed to correct the malformation. Colostomy stoma was closed after confirming the patent of rectum and anus. Dilation of anus was sustained for 6 months after anorectoplasty. ResultsOperations were successfully completed in 3 cases. The durations of operation were 3 hours and 40 minutes, 4 hours and 20 minutes, and 3 hours and 50 minutes; the blood loss was 10, 20, and 10 mL; and the time of colostomy stoma closure was 3, 5, and 3 months, respectively. Three cases were followed up 13, 18, and 4 months, respectively; no anal stenosis or rectal prolapse occurred. They had normal micturition; the B ultrasonic examination showed that the residual urine volume was less than 10 mL. At 12 months after anorectoplasty, the Wexner scores were 1 and 5 in 2 cases followed up 13 and 18 months; according to Krickenbeck postoperative effect, 2 cases had defecation and no constipation; 1 case had soiling (grade 1). ConclusionPSARP and total urogenital mobilization should be the first choice in treatment of cloacal malformation with common channel less than 3 cm.