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横直肠直径:在患有慢性功能性便秘的儿童中预测严重性的指标
F Proli1, G Margiotta2, G Stella2,3
1Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
通过超声波测量的横直肠直径 (TRD) 可靠地预测儿童慢性功能性便秘 (CFC) 的严重程度. 治疗后减少的TRD表明改善,而持续的扩张可能标志着 defecatory dyssynergia.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗成像医学成像
- 临床诊断 临床诊断 临床诊断
背景情况:
- 慢性功能性便秘 (CFC) 是一个常见的儿科疾病.
- 准确评估严重程度和治疗反应对于有效管理至关重要.
- 横直肠直径 (TRD) 正在作为潜在的诊断标记物进行研究.
研究的目的:
- 评估横直肠直径 (TRD) 作为慢性功能性便秘 (CFC) 儿童临床严重性的预测指标.
- 评估TRD在监测对儿科CFC常规治疗反应的有用性.
- 探索TRD和其他超声波参数与临床结果之间的相关性.
主要方法:
- 一项纵向前性研究,涉及105名被诊断患有CFC的儿童 (4-17岁).
- 使用了便秘评分系统 (CSS) 和骨盆超声波 (测量TRD,壁厚 [WT],排毒器厚 [DT]).
- 2,4和6个月后的后续评估;非响应者的高分辨率门测量 (HR-ARM).
主要成果:
- 患有大肠 (TRD ≥3厘米) 的儿童表现出更高的CSS分数和更长的便秘持续时间.
- TRD与年龄和CSS分数正相关.
- 在治疗后观察到TRD和WT的显著减少,持续扩张表明潜在的失效.
结论:
- 盆腔超声波测量TRD是一种可靠的,非侵入性标志物,用于评估儿科CFC的严重程度和治疗反应.
- 持续的直肠扩张可能表明潜在的排便失调,指导进一步的诊断评估.
- 将TRD整合到常规实践中可以增强针对儿科便秘的个性化门诊护理.
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