相关实验视频

Updated: Sep 18, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

在男性患有复杂直肠形的儿童手术后的肠功能

Hanbin Zhao¹, Jian Cao¹, Jinping Hou¹

¹Department of General Surgery &Neonatal Surgery, Children's Hospital of Chongqing Medical University, Chongqing, China.

Frontiers in pediatrics

|June 27, 2025

概括

较长的手术间隔和脊髓异常会对患有直肠形 (ARM) 的男孩的肠功能产生负面影响. 这些因素增加了对ARM进行分阶段手术后不良结果的风险.

科学领域:

儿科外科手术儿科外科手术
结肠直肠外科手术是什么意思
发育儿科发育儿科

背景情况:

阳道形 (ARM) 是一种先天性疾病,在手术纠正后可能导致排便功能障碍.
在男性儿童中,复杂的ARM对长期功能结果构成独特的挑战.
评估影响术后肠道功能的因素对于改善患者护理至关重要.

研究的目的:

为了评估男性儿童的长期功能结果,这些儿童接受了复杂的ARM的分阶段手术.
确定影响术后肠功能和患者群体预后的因素.

主要方法:

从2013年至2016年期间接受过复杂ARM治疗的男性儿童的临床数据的回顾性分析.
数据包括ARM类型,围肌肉发育,直肠测量,腰部神经核磁共振以及手术间隔.
使用修改的Rintala得分评估肠功能;用于因子分析的后勤回归.

主要成果:

周围肌肉发育与改善的肠功能显著相关 (p=0.023).
脊髓异常与肠道功能明显恶化有关 (OR=4.651,p=0.032).
第一次和第三次手术之间的较长间隔与排便水平的恶化相关 (OR=3.808,p=0.039).

结论:

脊髓异常常见于患有复杂的ARM的男性儿童,并影响结果.
长时间的手术分期会增加术后肠道功能不良的风险.
早期识别脊髓异常和优化手术时间对于更好的结果至关重要.

关键词:

直肠形异常直肠形异常肠道功能肠道功能操作间隔的操作间隔.周肌肉周肌肉脊髓异常脊髓异常

更多相关视频

Author Spotlight: Developing a Rat Model for Pouchitis Research and Treatment

Author Spotlight: Developing a Rat Model for Pouchitis Research and Treatment

Published on: May 31, 2024

Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

相关概念视频

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

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:

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Assessment of the Rectum and Anus

Assessment of the Rectum and Anus

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,...

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...