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肠道功能和肠道功能障碍的特征在学龄前儿童与直肠形类型的直肠和直肠管

Changgui Lu¹, Shiwen Pan², Huan Chen³

¹Department of Pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.

European journal of pediatrics

|November 7, 2023

概括

肠道功能障碍在学龄前儿童中很常见,患有直肠和直肠 (RPF/RVF),影响排便控制和感觉. 男性的RPF患者表现出比女性更好的肠道功能,可能是由于早期的手术.

科学领域:

儿科手术儿科手术
胃肠病学胃肠病学
泌尿器科泌尿器科泌尿器科泌尿器科

背景情况:

直肠形 (ARMs) 像直上和直口腔形 (RPF/RVF) 通常具有良好的预后.
然而,ARM可以导致持续的肠功能障碍,特别是便秘,从童年到成年影响生活质量.
了解早期出现的肠道功能障碍对于长期患者的健康至关重要.

研究的目的:

在被诊断为RPF/RVF的学龄前儿童中评估肠道功能.
为了确定这些儿童肠道功能障碍的具体特征.
分析基于RPF/RVF类型和性别的肠功能差异.

主要方法:

一项涉及159名带有RPF/RVF的学龄前儿童和128名健康对照者的比较研究.
通过基于问卷的肠功能评分 (BFS) 来评估肠功能.
在男性RPF,女性RPF和RVF子组中分析了BFS项目和临床特征的数据.

主要成果:

肠道功能障碍率为RPF组的27.2%,为RVF组的50.0%.
与对照组相比,RPF/RVF患者的排便保持,感觉冲动,排便频率和便秘的正常率明显较低.
与女性RPF和RVF患者相比,男性RPF患者表现出优异的肠功能,包括更好的排便控制和冲动感,与女性RPF和RVF患者相比.

结论:

肠道功能障碍,包括排便控制不良,冲动感受受损害,脏和便秘,在RPF/RVF患者中很普遍.
男性RPF患者的整体肠功能比女性RPF或RVF患者更好.
诸如较早的手术年龄,较低的斜骨比率的较低发病率和带可能有助于男性RPF患者的更好的结果.

关键词:

阴道直肠形阴道直肠形肠道功能肠道功能功能功能功能功能.幼儿园年龄学前年龄脊椎骨和直直垂体管.

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