[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fB590Qy_y-0YJQJoZFane1HcjMrysmvgjwzpXmes2nVg":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":46},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":43},4757,"小儿先天性直肠肛门畸形"," 小儿先天性直肠肛门畸形的症状、诊断与治疗 | 儿科专家建议\n"," 小儿直肠肛门畸形, 先天性肛门畸形, 儿童直肠问题, 肛门畸形症状, 肛门畸形治疗, 儿科诊断, 先天性直肠肛门畸形\n"," 了解小儿先天性直肠肛门畸形的症状、诊断方法和治疗方案。我们的儿科专家提供详细信息，帮助家长及时发现和处理这一常见问题，确保儿童健康成长。",[18,23,28,33,38],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},157568,"概述","\u003Cp>　　先天性直肠肛门畸形(congenital malformation of the anus and rectum)是非常多见的消化道畸形，是后原肠尾端发育异常的一组疾病的总称。肛门直肠畸形的种类繁多，病理改变复杂，不仅肛门直肠本身发育缺陷，肛门周围肌肉-耻骨直肠肌、肛门外括约肌和内括约肌均有不同程度的改变;神经系统改变也是该畸形的重要病理改变之一;另外该畸形伴发其他器官畸形的发生率很高，有些病例为多发性畸形或严重危及病儿生命的畸形。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},157569,"症状","\u003Cp>　　常见症状：肛门直肠发育不全、直肠闭锁、肛门皮肤瘘\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},157570,"检查","\u003Cp>　　检查项目：倒立侧位X线平片、倒立侧位X线平片\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},157571,"鉴别","\u003Cp>　　先天性直肠肛门畸形的表现形式各异，主要体现在异常的瘘口位置及瘘管的长短和走向等诸多方面。通过临床特点和辅助检查，先天性肛门直肠畸形的诊断不困难，重要的是通过必要的检查手段明确直肠闭锁的高度，直肠末端与骨直肠肌的关系和有无泌尿系瘘以及脊柱畸形的存在等，关系到治疗方案的制定和预后。\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},157572,"治疗","\u003Cp>　　(一)治疗先天性肛门直肠畸形的治疗方法，根据其类型及末端的高度而不同。凡无排便功能障碍，如会阴前肛门无狭窄者，不须治疗外，均需手术治疗。低位无肛如膜状闭锁、狭窄或直肠会阴瘘均需会阴部肛门成形术。中位无肛如直肠尿道瘘、直肠阴道瘘等可行骶会阴肛门成形术。高位无肛如直肠膀胱瘘、高位阴道瘘等则需腹骶会阴肛门成形术。为了防止肛门成形术后瘢痕狭窄，均应于术后1个月进行扩肛，约需1年左右。\u003C/p>\u003Cp>　　(二)预后肛门直肠畸形的预后，决定于畸形的类型及有无合并其他器官的畸形，低位肛门闭锁及瘘一般术后排便控制功能较好，高位畸形效果仍不理想。如患儿术后每天排便1～3次，无污粪为效果良好，排便控制能力随年龄增长及不断地进行排便训练而会改善，但某些生殖泌尿系的后遗问题，仍需较长期的随访观察。\u003C/p>",4,[44,45],"急诊科","中西医结合科",true]