WAY DIFFERENTIAL DIAGNOSIS DYSFUNCTION evacuation of the rectum and bladder in children

摘要

A method for differential diagnosis evacuation dysfunctions rectum and bladder in children, characterized in that a patient with symptoms of disorders act of defecation and / or urination is conducted ultrasound transperineal study in its position on the left side, the sensor is mounted directly in the anal hole which during operation to improve the visualization of the examined organs sequentially shifted: the boys to the root of the scrotum, the girls - to the vestibule, the scanning is carried out in two lane endikulyarnyh projections - longitudinal and longitudinally oblique, the longitudinal scanning is carried out research rectum and perianal region, detail estimate echographic anatomy of the anal canal and the neck of the bladder to the urethra, a condition ampoules colon: the colon study measured the length and width of the anal canal, is determined availability and safety of the anal sphincters: inner and outer, of their measured thickness value of anorectal angle estimate blood flow velocity in the branches rectal arteries on Grand Itza transition ampoules rectum into the anal canal sensor is disposed in longitudinally-oblique and define branch puborektalnoy loops measured its thickness, in the study of the urinary bladder is measured length and width of the neck to the urethra, the magnitude of the posterior urethra-vesical angle, the study is carried out at rest and in functional Valsalva maneuver with straining and functional test to volitional retention by reducing the perineum, determining the direction of movement of the bladder neck: anterior or posterior to the symphysis to the sacrum, floor