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肛门直肠畸形是小儿较常见的消化道畸形,如果诊断、处理不当,虽然挽救了生命,但排便功能障碍成为长期的痛苦和残疾。结合有关文献报道,就肛门直肠畸形的诊断和处理讨论如下: 一、分型:1970年在澳大利亚国际小儿外科医生会议上,Stephens和Smith提出将肛门直肠畸形分为三型:1.高位型:直肠盲端在耻骨直肠肌之上。2.间位型:直肠盲端部分通过耻骨直肠肌。3.低位型:直肠盲端已完全通
Anorectal malformations are more common in children with gastrointestinal malformations, if diagnosed, handled properly, although saved lives, but defecation dysfunction has become a long-term pain and disability. Combined with the literature, the diagnosis and treatment of anorectal malformations are discussed as follows: 1. Typing: In 1970, at the Australian International Pediatric Surgeon Meeting, Stephens and Smith proposed that anorectal malformations be divided into three types: 1. High type: Rectum blind end in the puborectalis. 2-bit type: part of the rectum blind through the puborectalis. 3. Low type: Rectal blind end has been fully connected