Xiaoyan is 9 months old and is a smiling baby girl.尽管如此，有件事情总是让小言的父母郁闷在心，那就是小言出生至今一直大便困难，大便时常常都要使劲用力，一脸痛苦而且哭闹不安，直到排出大便为止。
最近一个月，每次大便时，小言都哭闹得更厉害了，甚至有时要两三天才能排得出大便，且大便变得很硬，为此小言父母苦于到广佛两地寻医，均未有所获。
Until last week, Xiaoyan checked in the pediatric surgery department of Guangdong Medical University Shunde Women and Children's Hospital (Shunde District Maternal and Child Health Hospital) and found that the child had no anal! What's going on?
Accident: A 9-month-old baby girl has no anal
According to the hospital, Xiaoyan came to the pediatric surgery clinic at that time and her stomach was a little swollen. According to his parents, the baby has defecated 3 to 4 times a day recently, but each time he defecated hard and the amount was very small. After inspection, it was found that the place where Xiaoyan should have anal was actually sealed skin. Instead, it was less than 1 cm near the vagina, and there was an opening about 0.8 cm in diameter, and a hard stool that was about to come out could be touched inside. Transenema examination showed that Xiaoyan's sigmoid colon and colon had begun to expand.
At this time, the reason why Xiaoyan has been having difficulty defecation since birth was finally revealed. It turned out that Xiaoyan was congenital anorectal malformation combined with rectal perineal fistula, which is "anal atresia".
According to experts, the so-called "anal atresia" is also called anal locking and no anal disease. This disease is a common congenital gastrointestinal deformity, accounting for 1/1500 to 1/5000 of newborns, and more men than women.
In terms of classification, "anal atresia" often combines other deformities, accounting for about 41.6%. The cause of this disease is unclear. After the baby is born, the anus, anal canal, and the lower end of the rectum are at the same time. The appearance cannot see where the anus is.
Surgery: Reconstruct anal for a baby girl
According to reports, although the child does not have an anus, there is a small fistula in front of the anus close to the genitals.
“这个瘘口比正常的肛门小，也没有正常肛门的括约肌，能够排出一点大便，但不能完全拉出来，所以肚子越来越胀。”专家还表示，在孩子半岁前，孩子的大便是不成形的，尚能够顺利的经过瘘口排出。 However, after adding complementary food, because the child's stool gradually takes shape, it is difficult to discharge through the fistula, so the child will cry every time he defecates.
“时间久了若没有得到外科手术治疗，肠管积便越来越多，可能会出现继发性巨结肠、肠穿孔、腹膜炎等后果。”该院专家称，通过手术来治疗非常有必要。
After communication and discussion with Xiaoyan’s parents, Xiaoyan immediately went to the hospital for hospital’s pediatric surgery department.
Recently, a pediatric surgeon expert performed "perineal anoplasty + rectal perineal fistulaectomy" for Xiaoyan to recreate anal for a baby girl. Among them, the anus is reshaped during the operation and moved to the anus where it should be located. After
, the baby girl recovered well. The hospital said that during the postoperative rounds, Xiaoyan's mother also reported that the child's "poop" has no longer cried very desolately as before. "Sometimes it is quietly pulled, and we don't know that we don't change diapers until we smell the smell of poop." Xiaoyan's mother said.
Expert: Anal atresia can cure
After a baby suffers from anal atresia, it can actually be cured through surgery.
院方专家建议，小儿出现了便秘情况，除了喂养不耐受、饮食习惯等原因外，还有一部分是因为先天性的畸形导致的，例如先天性巨结肠、肛门闭锁、肛门狭窄等，这时候都需要外科的手术，才能解决排便的问题。
In addition, the body-related organs should be checked in time after the baby is born, and some abnormal phenomena should not be ignored during the parenting process.
Guangzhou Daily All-Media Text Reporter: Huang Zining Correspondent: Huang Xinying
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