1　患儿 ,男 ,1 3岁 ,因“先天性肛门闭锁术后排便困难 ,尿液混杂粪便 1 3年”收住。患儿生后因“肛门闭锁”在外院共行两次手术治疗。第 2次术后半月发现排尿时尿液自肛门溢出 ,同时尿道排出粪便。随着年龄增长患儿渐感排便费力 ,出现不自主流粪及便不尽感 ,稀便不能控制。体 A child, male, 13 years old, was admitted to hospital due to “difficulty in defecation after congenital anal atresia and mixed urine for 13 years.” Children after birth due to “anus atresia” in the hospital a total of two surgical treatment. The second half of urine after urination found urine overflow from the anus, while excretion of the urethra. As children grow older children tend to defecate stool effort, there is not spontaneous defecation and endless feeling, loose stool can not control. body