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在我们的部门中,中级直肠形的长期术后结果
Ryo Tamura1, Miori Kido1, Kiyokuni Nakamura1
1Department of Pediatric Surgery, Kanazawa Medical University, Daigaku 1-1, Uchinada, Kahoku, Ishikawa, 9200293, Japan.
Pediatric surgery international
|September 23, 2024
概括
这项研究评估了直肠形 (ARM) 的拉通程序,发现了有利的结果. 长期随访显示了良好的节制机制的保存,尽管在一些患者中发现了便秘.
科学领域:
- 儿科手术 儿科手术
- 结肠直肠手术 结肠直肠手术
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
背景情况:
- 后面的斜面直肠整形和腹腔镜辅助的直肠拉透是直肠形 (ARM) 的当前标准.
- 如果仔细执行,关节拉透手术可以获得很好的结果.
- 这项研究介绍了一种特定的拉通技术,重点是保护节机制.
研究的目的:
- 评估中级直肠形 (ARM) 的特定拉透手术的长期肠功能和手术结果.
- 将这个手术的结果与ARM的各种手术技术的历史数据进行比较.
主要方法:
- 一组11名中期ARM患者进行了手术后10年多的随访.
- 收集的数据包括ARM类型,并发症,并发症和长期肠道功能.
- 一项文献综述发现了8项研究,其中有超过10例直肠整形术后病例和超过10年的随访.
主要成果:
- 随访时间中位数为14.4年;两次瘤复发需要干预.
- 长期失禁和便秘率分别为9%和45%.
- 在大多数患者中观察到良好的直肠角和直肠抑制反射.
结论:
- 引入的拉透程序显示,对直肠形 (ARM) 有有利的结果.
- 文献综述强调了不同直体整形技术的结果的变化.
- 保持禁欲机制对于成功的ARM手术管理至关重要.
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