通过磁共振成像评估的先天性骨盆地肌肉发育与手术后排便之间的相关性
Qionghe Liang1, Changgui Lu2, Peng Liu1
1Radiology department, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, 210008, China.
Pediatric surgery international
|April 10, 2024
概括
在患有先天性直肠形 (CAM) 的儿童中,盆地肌肉的发育会影响手术后的肠功能. 周围囊显示肌肉发育和改善排便结果之间存在显著的相关性.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- kongenital anorectal malformation (CAM) 在受影响儿童的排便中提出了重大挑战.
- 手术后的肠功能是这些患者长期生活质量的关键决定因素.
研究的目的:
- 评估有CAM的学龄前儿童的排便情况.
- 评估通过MRI评估的盆地肌肉发育与术后肠功能之间的相关性.
主要方法:
- 分析了89名患有CAM的男孩的临床数据和MRI结果.
- 肠功能评分 (BFS) 计算了患有围,直尿道和直管的患者.
- 骨盆地肌肉发育 (条纹肌肉复合体 - SMC) 使用MRI进行评估,并通过Cochran-Armitage趋势测试与BFS相关联.
主要成果:
- 77.4%的患有周围的患者观察到良好的SMC得分,与77.4%的病例中BFS≥17相关.
- 带有直尿道和直尿道的患者显示SMC得分主要为中度到低,BFS≥17的有限情况.
- 在周围囊子子子组中发现了SMC发展和BFS之间的显著相关性.
结论:
- 盆地肌肉发育与患有周围的儿童手术后排便改善有显著的相关性.
- 可能需要进一步的研究来优化Rctourethral和Rectovesical囊亚型的结果.
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