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目的提高对全结肠、直肠重复畸形的认识,减少误诊。方法对4例全结肠、直肠重复畸形的诊治进行总结。结果3例重复肠管开口在舟状窝,1例重复肠管远端为盲端。4例中2例合并泌尿生殖畸形,其中1例同时合并先天性肛门闭锁,其重复肠管与主肠管分别开口在舟状窝处,术前误诊。3例行主肠管与重复肠管的开窗术,1例行全结肠切除术。4例术后均恢复良好。结论全结肠、直肠重复畸形常合并有泌尿、生殖系统畸形,钡灌肠X线检查可确诊。治疗可采用全结肠切除、重复肠管黏膜剥脱及重复肠管与主肠管开窗术。
Objective To improve awareness of total colon, rectum deformity and reduce misdiagnosis. Methods The diagnosis and treatment of 4 cases of total colon and rectum deformity were summarized. Results Three cases of repetitive bowel opening in the boat-shaped nest, one case of repeated intestinal distal to the blind end. Two cases were complicated with genitourinary deformity in 4 cases, of which 1 case complicated with congenital anal atresia at the same time. The repeat intestine and main intestine were respectively opened in the boat-shaped fossa, which was misdiagnosed before operation. 3 cases of primary bowel and duplication of intestinal fenestration, 1 case of total colon resection. Four cases recovered well after operation. Conclusion The total colon, rectum and deformity often associated with urinary and reproductive system deformity, barium enema X-ray examination can be diagnosed. Treatment can be the whole colon resection, repeat intestinal mucosal exfoliation and repeat the intestine and the main bowel fenestration.