内部关节和便障碍在患有直肠形的患者之间的关系
Venla E C den Hollander1, Monika Trzpis1, Paul M A Broens1,2
1Department of Surgery, Anorectal Physiology Laboratory, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
脊直肠抑制反射 (RAIR) 经常存在于直肠形 (ARM) 的患者中. 手术可能会损害RAIR,可能导致便秘和便失禁.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 阳门生理学 阳门生理学
背景情况:
- 遗传性直肠形 (ARM) 存在复杂的手术和功能挑战.
- 了解直肠生理学对于管理ARM的儿科患者的长期结果至关重要.
研究的目的:
- 调查直肠抑制反射 (RAIR),ARM类型,手术干预以及便失禁和排便问题等功能结果之间的关联.
- 确定各种类型的ARM的儿科患者RAIR的患病率.
主要方法:
- 对69名患有ARM的儿科患者进行了回顾性分析,他们接受了10年的治疗.
- 使用罗马四号标准和阳道功能测试对阳道生理学的评估.
- 雷尔存在与ARM类型,手术史,直肠体积和便失禁的相关性.
主要成果:
- 在所有ARM类型的患者中,RAIR存在于67%的患者中.
- 没有进行手术或进行较小的手术的患者保留了RAIR;后部斜性瘤整形术与44%的RAIR存在有关.
- 缺少RAIR与便秘,直肠体积增加和潜在的便失禁相关,尽管没有发现与失禁的直接统计学意义.
结论:
- 一般来说,RAIR在ARM患者中存在,不论形类型如何,但可以通过正手术来减弱.
- 在手术纠正期间保持RAIR至关重要,以防止长期的功能问题,如便秘和便失禁.
- 尽量减少使用广泛的外科手术程序可能有助于保持直肠功能.
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