在患有赫施普朗格病的儿童中,结肠计量术的实用性
Yinan Fu1, Christopher Gayer2, Michelle Gould1
1Department of Pediatric Gastroenterology, Children's Hospital Los Angeles, Los Angeles, California, USA.
Journal of pediatric gastroenterology and nutrition
|April 29, 2024
概括
结肠计量 (CM) 有助于管理便问题在后拉透赫斯普朗格病 (PT-HSCR) 患者. 建议在CM和手术前优化医疗护理,以获得PT-HSCR患者更好的治疗结果.
科学领域:
- 儿科外科手术 儿科外科手术
- 胃肠病学 胃肠病学
- 结肠直肠外科手术是什么意思
背景情况:
- 通过Hirschsprung病 (PT-HSCR) 的患者经常经历持续的排便问题.
- 在这些患者中,异常的结肠残留运动是可疑的原因.
研究的目的:
- 审查结肠计量 (CM) 在管理PT-HSCR患者的排便障碍中的实用性.
- 为了将CM发现与临床结果相关联.
主要方法:
- 追溯审查PT-HSCR儿童的医疗记录,这些儿童因异常排便而接受CM.
- 与CM发现有关的临床过程的分析.
主要成果:
- 在25名可评估的PT-HSCR患者中,有16人表现出结肠不运动,8人有正常的CM,1人有高运动性.
- 结果各不相同,一些患者对医疗管理做出了反应,另一些需要手术,有些失去了随访.
- CM的发现有助于指导管理决策.
结论:
- 结肠不运动是PT-HSCR持续排便问题的重要因素.
- 在这些患者中,CM有效评估结肠神经肌肉功能.
- 在考虑CM和外科干预之前,优化医疗管理至关重要.
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