Diagnostika I Lechenie Ektopii Anusa. Michael Levin vs. Alberto Pena
Levin Mikhail
Diagnostika I Lechenie Ektopii Anusa. Michael Levin vs. Alberto Pena
Levin Mikhail
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Vopreki rasprostranennomu mneniyu, chto pri anorektal'nykh anomaliyakh anal'nyy kanal otsutstvuet ili patologicheski izmenen, my u vsekh detey s vestibulyarnym svishchem obnaruzhili normal'no funktsioniruyushchiy vnutrenniy anal'nyy sfinkter, okruzhennyy puborektal'noy myshtsey, a takzhe myshtsey, podnimayushchey zadnyy prokhod, kotoraya raskryvaet anal'nyy kanal vo vremya defekatsii. Fakticheski etot porok predstavlyaet soboy ektopiyu anusa s normal'no funktsioniruyushchim anal'nym kanalom. Distal'nyy kontur poslednego raspolagaetsya v 2-5 mm ot anal'noy yamki. Vse primenyaemye do sikh por operativnye metody otdelyayut etot anal'nyy kanal ot vlagalishcha i otsekayut ego, a na ego mesto nizvodyat pryamuyu kishku. Zhestokie zapory i nederzhanie kala chastye oslozhneniya, nezvisyashchie ot metoda operatsii.Razrabotannaya nami operatsiya formirovaniya anusa sokhranyaet vse elementy anal'nogo kanala, chto i obuslavlivaet khoroshie funktsional'nye rezul'taty. Primenyaya novyy metod diagnostiki, my obnaruzhili nalichie anal'nogo kanala takzhe u nekotorykh mal'chikov s uretral'nymi svishchami. Operatsiya perforatsii promezhnosti u takikh novorozhdennykh pozvolyaet sokhranit’ vse elementy anal'nogo kanala i obespechit’ ego normal'nuyu funktsiyu.
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