论文部分内容阅读
患者22岁,未婚,住院号297169。因漏尿、大便困难、原发无月经于1956年3月12日入院。出生后发现无肛门,似从尿道排便,漏尿,常因腹胀而哭闹。9个月时行肛门成形术,术后仍不能控制排尿,从新肛门处漏尿,习惯性便秘,常为20天左右一次,长时可达月余。便前数日明显腹胀、腹痛,饮食减少,便后症状消失。便秘逐渐加重,至1986年初每便必须服用泻药,且便中混有鲜血。从无月经来潮,亦无周期性腹痛。查体:发育正常。腹部膨隆,腹壁紧张,即之鼓音,无移动浊音。妇检:阴毛稀少,小阴唇发育欠佳,右侧大于左侧。尿道口位于阴道口位置。其下约2cm 处有一小孔,直径约0.5cm,与直肠相通。肛门周围形成疤痕,括约肌松弛,未见有阴道口。肛
Patient 22 years old, unmarried, hospital number 297169. Due to leakage of urine, stool difficulties, the primary without menses on March 12, 1956 admission. No anus was found after birth, it seems from the urethra defecation, leakage of urine, often because of bloating and crying. 9 months, anal angioplasty, postoperative still can not control urination, leakage from the new anus, habitual constipation, often for about 20 days, for up to more than a month. A few days before the obvious bloating, abdominal pain, diet to reduce the symptoms disappeared. Constipation was gradually aggravated. By the beginning of 1986, laxatives had to be taken and blood mixed with it. From no menstrual cramps, there is no periodic abdominal pain. Physical examination: normal development. Abdominal bulge, abdominal wall tension, that drum sound, no moving dullness. Prostitution: sparse pubic hair, labia minora undeveloped, right greater than the left. The urethra is located in the vaginal opening. The next about 2cm at a small hole diameter of about 0.5cm, communicating with the rectum. Scar formation around the anus, sphincter relaxation, no vaginal opening. anus