CAJ | 학술논문

报告应用B型超声对16例先天性肛门闭锁伴直肠瘘进行诊断、定位的方法.对会阴痿或舟状窝瘘13例,经瘘管插管向直肠内注水,使盲端充盈后定位.尿道瘘、膀胱瘘的3例,则直接显示盲端定位及观察膀胱内尿液.结果表明:①盲端高度定位与手术所测符合率达93.8%,并能满意地设立耻尾线,观察瘘管走向.②对膀胱瘘的检出,方法简便可靠,敏感性高.③可使其它合并畸形一并检出.
보고응용B형초성대16례선천성항문폐쇄반직장루진행진단、정위적방법.대회음위혹주상와루13례,경루관삽관향직장내주수,사맹단충영후정위.뇨도루、방광루적3례,칙직접현시맹단정위급관찰방광내뇨액.결과표명:①맹단고도정위여수술소측부합솔체93.8%,병능만의지설립치미선,관찰루관주향.②대방광루적검출,방법간편가고,민감성고.③가사기타합병기형일병검출.
This paper reports the confirmation of the level of blind rectum in 16 cases with imperforate anus and fistula by B-mode ultrosonics. Thirteen cases with perineal or vestibular fistula were diagnosed by making the rectal pouch distended with water injected through a catheter in the fistula. Three cases with rectourethral fistula or vesical fistula were diagnosed by direct visualization of the urine in the bladder under ultrasonic scan.In 93.8%of the series who had a ultrasonic estimation of the level of the blind rectum conformed with the measurement during operation.The FC line and the fistula tract could be visualized.It is reliable to diagnose rectovesical fistula with ultrasonics. Associated deformities may also be discovered at the same time.