on congenital rectum anus deformity surgical treatment（先天性肛门直肠畸形手术治疗）.docVIP

On congenital rectum anus deformity surgical treatment [Keywords] diagnosis and treatment of congenital anorectal malformation Congenital anorectal malformations are common, accounting for the first gastrointestinal malformations, the incidence reported in the literature about 1 / 5000, roughly the same incidence of men and women, but some are infants or children, adults rarely see. Disease type range of treatments in different ways, often accompanied by other developmental abnormalities, and thus a higher mortality rate, poor surgical results, postoperative bowel dysfunction often left in recent years, according to the type of deformity as well as individual differences, select the appropriate age at surgery and methods to improve the surgical treatment, reducing mortality. Clinical manifestations of Anorectal malformations clinically manifested as complete or incomplete low intestinal obstruction. 1 anorectal atresia after birth, no meconium, vomiting, abdominal distension and often emergency room for treatment. Frequent vomiting, vomit, or the beginning of the stomach contents mixed with meconium, a few days later vomiting fecal-like material. Distension, early full abdominal distension, and bowel sounds can be heard. A few days later, due to obstruction and intestinal gas accumulation, expansion of hypertrophy, and a large number of liquid into the abdominal cavity, abdominal distension and therefore such as drums, abdominal swelling, spread to the perineum, and accompanied by abdominal wall venous engorgement. whole abdominal percussion drum sound, may have shifting dullness, bowel sounds may disappear. children with dehydration, electrolyte imbalance, manifested as depression anterior fontanelle, orbital subsidence, dry and wrinkled skin, may be associated with acidosis. if not treated quickly into toxic shock and death. (2) anorectal malformation and fistula performance of such part of intestinal obstruction in children, such as large