在患有结直肠病理的儿童中用超声波评估便负荷:ReKiSo研究
Daniel Erkel1, Stefanie Märzheuser2, Judith Lindert2
1Department of Pediatric Surgery, University Hospital Rostock, Ernst-Heydemann-Straße 8, 18057, Rostock, Germany. daniel.erkel@uni-rostock.de.
腹横直肠超声波 (TRU) 有效测量直肠直径,以评估患有结直肠疾病的儿童的便负荷,有助于诊断便秘和无辐射的肠道管理监测.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 诊断成像 诊断成像 诊断成像
- 结肠直肠手术 结肠直肠手术
背景情况:
- 患有结直肠病理的儿童的肠道管理 (BM) 需要有效的监测工具.
- 评估便负荷对于诊断和管理诸如赫什普朗格病 (HD),肠形 (ARM) 和功能性便秘 (FC) 等疾病至关重要.
- 目前的方法可能有局限性,需要探索非侵入性技术.
研究的目的:
- 评估腹直肠超声波 (TRU) 用于评估小儿科患者的便负荷进行排便管理.
- 测量横直肠直径 (TRD) 作为便冲击的指标.
- 确定TRU在诊断便秘和监测BM疗效方面的有用性.
主要方法:
- 一项前性病例控制研究,涉及患有HD,ARM和FC的儿童接受BM.
- 使用Klijn方法可视化TRD并通过TRU评估便负载.
- 将TRD测量与临床结果进行比较,并对患者进行1-6个月的随访.
主要成果:
- 横直肠直径 (TRD) 测量显示,患者组之间的统计学上显著差异 (p < 0.05).
- 3厘米的TRD切线被确定为有或没有便秘/过载症状的儿童之间的潜在歧视因素.
- 超声波在评估便负荷和监测肠道管理结果方面被证明是有效的.
结论:
- 腹横直肠超声波 (TRU) 是一种有价值的,无辐射的工具,用于评估儿童的便负荷.
- TRU有助于诊断便秘和监测肠道管理的有效性.
- 3厘米的TRD值可能有助于区分症状和无症状儿童,无论潜在的结直肠病理.
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