肠道功能,尿路功能和与直肠形的男性的健康相关的生活质量
Joshua Gertler1,2, Anna Löf Granström3,4, Jenny Oddsberg3,4
1Unit of Pediatric Surgery, Karolinska University Hospital, Astrid Lindgrens Barnsjukhus Karolinska Universitetssjukhuset, Eugeniavägen C11:33, Solna, 17176, Stockholm, Sweden. joshua.gertler@ki.se.
Pediatric surgery international
|June 27, 2024
概括
阳肠形 (ARM) 的男性患者经历了肠功能受损,随着年龄的增长而改善. 尿路功能与对照组相似,与健康有关的生活质量不受影响.
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
- 胃肠病学 胃肠病学
背景情况:
- 阳肠形 (ARM) 是一种先天性疾病,需要进行手术纠正.
- 患有ARM的男性的长期功能结果和生活质量尚未得到充分证实.
- 这项研究解决了关于男性ARM患者长期结果的知识差距.
研究的目的:
- 为了研究 ARM 治疗的男性的长期肠功能.
- 在男性ARM患者中评估膀功能和下泌尿道症状 (LUTS).
- 评估成人和儿科男性ARM幸存者的与健康相关的生活质量 (HRQoL).
主要方法:
- 对接受ARM治疗的男性进行了基于问卷的横截面研究 (1994-2017年).
- 使用肠功能评分 (BFS) 评估肠功能;使用LUTS调查问卷评估尿路功能.
- 用KIDSCREEN和PGWBI评估HRQoL;结果与年龄/性别匹配的对照和规范数据相比较.
主要成果:
- 与对照组 (95.3%) 相比,ARM患者的肠功能显著受损 (42.1%).
- 在ARM患者中,随着年龄的增长,BFS有所改善;污垢和紧急情况有显著改善.
- 尿路症状相似,但ARM患者报告了更多的紧张和压力失禁.
结论:
- 男性ARM患者的肠功能受损,但随着年龄的增长而改善.
- 尿路功能受到影响,但与对照人群相比;HRQoL不受影响.
- 研究的功能结果之间没有发现显著的关联.
相关概念视频
01:25Assessment of the Rectum and Anus
193
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
193
01:20Disorders of the Male Reproductive System
384
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
384
01:21Inflammatory Bowel Disease V: Surgical Management
139
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
139
01:17Chronic Bowel Disorders: Introduction
439
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
439
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
99
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
99
01:17Assessment of the Gastrointestinal System I: Subjective Data
171
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
171