后拉透肠功能结果和儿童的促成因素;从低资源设置进行横截面研究
Tafese Gudissa Merga1, Hiwote Girma Assefa1, Maru Gama Erge1
1Pediatric Surgery Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
BMC surgery
|July 3, 2025
概括
许多孩子在希尔施普伦格之后经历了肠道功能不佳的经历.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 赫施普朗格病 (Hirschsprung's disease,简称HSD) 是一种先天性疾病,其特征在于远端结肠中缺少质细胞,导致肠道阻塞.
- "拉透"手术是HSD的标准手术治疗方法,但它与显著的短期和长期并发症有关.
- 对于经过拉透手术的儿童的长期肠功能结果,存在有限的数据,特别是那些超出了典型的所训练年龄的儿童.
研究的目的:
- 为了评估被诊断患有赫施普朗格病 (HSD) 的儿童的肠功能结果,这些儿童经历了拉透手术.
- 在3岁及以上的特定群体中研究肠道功能,这些患者已经超过了所训练的典型年龄.
- 确定手术因素与长期肠道功能之间的潜在相关性.
主要方法:
- 进行了一项横截面研究,涉及58名三岁或以上的儿童,至少在拉透手术后六个月.
- 用社会科学统计数据包 (SPSS版本26) 收集和分析了有关肠道功能的数据.
- 用费舍尔的精确测试来评估变量与肠功能结果之间的关联,具有95%的置信区间和P<0.05.05的显著性水平.
主要成果:
- 该研究包括58名儿童 (70.7%男性),平均年龄为3.9岁. 大多数出现慢性便秘.
- 只有25%的患者报告了正常的肠道习惯和完全禁欲;56.9%的人经历了便污染,44.8%的人报告了便秘.
- 在广泛的结肠切除 (靠近脏曲) 和不良肠功能结果 (P=0.049) 之间发现了显著的关联.
结论:
- 显著比例的儿童经历持续的肠道功能障碍后,通过拉动手术的希尔施普朗格病.
- 早期诊断HSD和在手术期间使用冷部位活检可能会减少结肠切除的程度并改善结果.
- 建议进一步进行大规模的多中心研究,以确定拉透手术后不良肠功能结果的预测因素.
相关概念视频
Chronic Bowel Disorders: Introduction
541
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...
541
Inflammatory Bowel Disease V: Surgical Management
221
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:
221
Assessment of the Rectum and Anus
412
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,...
412
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
253
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
253
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
428
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
428
Assessment of the Gastrointestinal System II: Health Perception Pattern
164
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:
164


