Hundred and six cases of anorectal anomalies.5-28 years after surgery.Were studied by follow-up barium enema,40 of them were classified as "low atresia",another 40 as "intermediate atresia",and the rest 26 as "high atresia".Clinically,63 cases had a good anal function,34 fair,and 9 poor.Roentgenologically,the straightening of anorectal angle,the shortening of anal canal,the amount of barium leakage,and the downward backward displacement of the anorectal junctlon ate remarkable in all patients with incontinence (P＜0.01)The clinical scoring is practlcally pa rallel to the roentgenological measuring with an all round conform rate over 60%.Barium enema illustrates the function of puborectalis sling specially better than manometry and electromyogram.The bowel training should be adviced to the patients with good objective scores but poor clinical scores,while surgical revision wuld be more preferable to those with poor function and poor barium enema assessment.%本文报道钡灌肠检查对106例先天性而肛术后远期排便功能的研究.无肛术后直肠肛管角明显开大,肛管长度缩短,直肠肛管交点向后下方移位,部分病例肛管显影及钡外溢.临床评分愈低、畸形位置愈高,改变愈显著.钡灌肠主要反映耻骨直肠肌的位置与功能,其评分结果与临床评分符合率为60.4%.二者评分不符者以排便训练为主,均低者应手术矫治.
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