目的 :调查肛门直肠畸形术后患儿远期行为问题。方法 :采用Achenbach儿童行为调查表对6 1名肛门直肠畸形术后 8～ 10年的患儿及 6 1名正常儿童进行配对调查。根据肛门功能的临床评分 ,分组比较其行为问题检出率。结果 :患儿组行为问题检出率明显高于对照组。肛门功能较差的患儿行为问题检出率高于对照组及肛门功能优、良组。结论 :肛门直肠畸形术后患儿远期行为问题的发生与患儿的肛门功能有关。改善患儿的肛门功能是预防行为问题的关键 Objective: To investigate the long-term behavioral problems in children with anorectal malformations after operation. Methods: Achenbach children behavior questionnaire was used to paired 6 1 children with anorectal malformation 8 to 10 years and 61 normal children. According to clinical scores of anal function, grouping was used to compare the detection rate of behavioral problems. Results: The detection rate of behavior problems in children group was significantly higher than that in control group. Anal dysfunction in children with behavioral problems detection rate was higher than the control group and excellent anal function, good group. Conclusion: The occurrence of long-term behavioral problems in children with anorectal malformation is related to the anus function in children. Improving anal function in children is key to preventing behavioral problems