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目的:肛门直肠畸形可伴有脊髓栓系,同样可以影响排便功能,本文探讨其诊断及治疗。 方法:复习5例肛门直肠畸形伴脊髓栓系的诊断及治疗。结果:5例经相应的肛门直肠畸形纠治术后,2例排便功能正常,3例仍有异常,再行脊髓栓 系松解术后,2例恢复正常,1例好转。 结论:肛门直肠畸形常可伴有脊髓栓系,并影响排便功能,因此若肛门直肠纠治术后排便控制仍不理想,或存在有脊髓栓系的高发因素时,应想到脊髓栓系的存在,并做相应检查。一旦确诊有脊髓栓系,宜及早积极治疗。
Objective: Anorectal malformations may be associated with tethered cord, the same can affect the defecation function, this article discusses its diagnosis and treatment. Methods: To review the diagnosis and treatment of 5 cases of anorectal malformation with tethered cord. Results: After the corresponding anorectal malformations were treated in 5 cases, 2 cases of defecation were normal and 3 cases were still abnormal. After the tethering of the tethered cord, 2 cases returned to normal and 1 case improved. CONCLUSIONS: Anorectal malformations can often be associated with tethered cord and affect bowel function, so if defecation control is not satisfactory after anorectal repair, or there is a high incidence of tethered cord tethers, the presence of tethered cord should be thought of , And make the appropriate inspection. Once diagnosed with tethered cord, should be actively treated as soon as possible.