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临床资料:患儿男性,5岁.因肛门排尿4年入院。患儿出生后,尿液中有粪便排出,在当地医院诊为先天性肛门闭锁,给予肛门成型术,术后患儿能自行排便,大便稀薄,尿道外口无尿液排出。再次医诊为膀胱直肠瘘,因多种原因(经济、年龄等)未行治疗。今年5月,来我院就诊,入院后查体:患儿神志清,营养发育差,比同龄儿童矮小。头部及器官未见异常,心肺正常。腹平坦,柔软,肝脾不大,无压痛,无包块。阴茎短小,向腹侧弯曲,尿道外口位于阴茎根部。阴囊空虚,未触及睾丸,左腹股沟区触及花生米大小肿块,压痛。对侧
Clinical data: Pediatric males, 5 years old, admitted to hospital for anal urination for 4 years. Children born after the discharge of urine in the urine in the local hospital diagnosed as congenital anal atresia, giving anus, postoperative children with their own bowel movements, thin stools, urethral orifice without urine discharge. Re-diagnosis of bladder fistula, due to a variety of reasons (economic, age, etc.) did not cure. May this year, came to our hospital, after admission, physical examination: children with clear consciousness, poor nutrition and development, shorter than the same age children. No abnormalities in the head and organs, normal heart and lungs. Abdomen flat, soft, small spleen, no tenderness, no mass. Penis short, curved to the ventral, urethral orifice in the root of the penis. Scrotal empty, did not touch the testis, left groin area touched the size of peanut mass, tenderness. Opposite side