Аноректальні аномалії розвитку

Author:

Антонюк Ольга,Пикалюк Василь,Слободян Олександр,Романюк Альона,Шварц Людмила

Abstract

Anorectal malformations include a wide range of conditions that can affect both sexes and involve the distal anus and rectum, as well as the urinary and genital tracts. An imperforate anus is a common birth defect that results from defects or delays in the development of the hindgut. The diagnosis of nonperforation of the anus is usually made shortly after birth through a routine medical examination. Patients have the best chance for a good functional outcome if the disease is diagnosed early and effective anatomic repair is started immediately. Most malformations in girls can only be correctly diagnosed on physical examination. An anus visible in the perineum with a normal vagina and urethra suggests a perineal fistula. A rectovestibular fistula occurs when the opening is in the posterior vestibule and beyond the hymen. If only one opening is visible between the labia, it is very likely a cloaca. Rectovaginal fistulae may initially appear as a non-perforating anus without a fistula (a normal-looking vagina and urethra, but no visible anus). Close examination usually reveals the presence of an opening in the back wall of the vagina or inside the hymenal ring. Radiological evaluation of a newborn with non-perforated anus should include abdominal ultrasound, using it to detect urological abnormalities. Sepsis, aspiration, abdominal distention, colonic perforation, respiratory distress, electrolyte imbalance are complications that can result from delayed diagnostic and therapeutic treatment of anorectal malforations. Accurate preoperative identification of an internal fistula between the distal part of the genitourinary tract is very important for optimal surgical treatment and prevention of possible damage to the genitourinary tract. Staged surgery, the most common approach for treating anorectal malformations, consists of three operations: a colostomy at birth, a definitive operation at 2–3 months of age, and closure of the colostomy at approximately 6 months of age.

Publisher

Lesya Ukrainka Volyn National University

Reference57 articles.

1. Antoniuk, O. P. Formuvannia kloaky i zakladka sfinkteriv priamoi kyshky. Vesniani anatomichni chytannia. Zbirnyk statei naukovo-praktychnoi konferentsii prysviachenoi pamiati dotsenta Kolesova M. A. 27 travnia 2016, Hrodno. Hr. HMU, 2016, S. 5-12. (in Ukrainian)

2. Veselyi, S. V.; Klimanskyi, R. P. Rezultaty khirurhichnoho likuvannia anorektalnykh vad rozvytku u ditei. Klinichna khirurhiia. 2018, 85(11). S. 53-56. doi: 10.26779/2522-1396.2018.11.53. (in Ukrainian)

3. Dzham, O. P.; Sliepov, O. K. Aktualni problemy klasyfikatsii anorektalnykh vad rozvytku v ditei u suchasnykh umovakh (ohliad literatury). Khirurhiia dytiachoho viku. 2020. № 3 (68). S. 41-48. (in Ukrainian)

4. Dolnytskyi, O. V.; Halahan, V. O.; Romadina, O. V. Pryrodzheni vady rozvytku. Osnovy diahnostyky ta likuvannia. Kyiv, 2009. 1040 s. https://www.olx.ua/d/obyavlenie/dolnitskiy. (in Ukrainian)

5. Embriolohichnyi slovnyk / za zah. redaktsiieiu prof. V. S. Pykaliuka. Simferopol-Chernivtsi, 2013. 256 s. (in Ukrainian)

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3