【摘要】 目的 观察先天性直肠狭窄的治疗效果。 方法 对20例先天性直肠狭窄的患者，根据狭窄的位置高低和程度采用不同的治疗方法，对低位狭窄行单纯扩张法，即用扩肛器、手指进行扩张。对狭窄严重者进行手术治疗，经后矢状入路进行狭窄处纵切横缝或环状切除狭窄部端端吻合术。 结果 20例患者均治愈。单纯扩张者17例，有3例经常便秘，2例对症治疗后好转;其中1例伴发巨结肠，经手术治疗后痊愈。 结论 直肠狭窄处直径在0.3cm以上者皆可进行狭窄处扩张。直径小于0.3cm的高位狭窄或经扩张失败者可考虑手术治疗。

    关键词 先天性直肠狭窄 诊断 治疗

    Treatment and diagnosis of congenital rectum stenosis

    Song Cuiping

    Department of Pediatric Surgery，The First Affiliated Hospital of Xinxiang Medical College，Henan453100.

    【Abstract】 Objective To observe the curative effect of treatment of congenital rectum stenosis(CRS).Methods 20patients with congenital rectum stenosis were treated with corresponding approach according to degree of stenosis.The dilatation was performed by a dilater and finger to the cases of low variety of rectum stenosis.That cases with severe rectum stenosis were treated by operation that segment of rectostenosis was operated by longitudinal section cutting and cross section suture and was resected and obtained rectoplasty.Results 20cases were cured.Three cases of17CRS that were performed by a dilator appeared constipation ......