How does infant congenital iris defect return a responsibility

summary

When I used to practice in hospital, I often encountered cases of congenital anorectal malformation. Congenital anorectal malformation is very common, and many types, but also has a certain degree of heredity. Later, I also learned how to diagnose congenital anorectal malformation, the accuracy is still very high. Now I would like to share with you the diagnosis of congenital anorectal malformation.

How does infant congenital iris defect return a responsibility

First: no meconium after birth, no anus. When rectal atresia and anal canal are normal, digital rectal examination can also confirm it. Vaginal fecal flow indicates vaginal fistula; urethral orifice does not exhaust with micturition and defecation is urethral fistula; meconium is found in the whole process of micturition, and green urine is bladder fistula.

Second: imaging examination: the diagnosis of congenital anorectal malformation is not difficult, but imaging examination is needed to determine the height of rectal atresia, the relationship between the end of rectum and puborectalis, and whether there is urinary fistula.

Third, X-ray inversion photography can understand the position of gas shadow at the end of rectum and judge the position of deformity. The line between pubis and sacrococcygeal joint on the inverted lateral view is called PC line, which is equivalent to the plane of puborectalis muscle, so as to distinguish high, middle and low deformities.

matters needing attention

The direction, length and thickness of the fistula were determined by fistulography. The direction, length and thickness of the fistula were determined by fistulography. The shape of the blind end of rectum and the distance between the blind end of rectum and perineal skin can be shown by puncture angiography. If necessary, B-ultrasound and magnetic resonance imaging can be performed, which is accurate and reliable, but the price is high.