Rex D K, Fitzgerald J F, Goulet R J
Department of Medicine, Indiana University Medical Center, Indianapolis.
Dis Colon Rectum. 1992 Mar;35(3):242-4. doi: 10.1007/BF02051015.
Childhood constipation with encopresis is a common malady. Previous reports suggest that essentially all patients either respond to standard treatments or have spontaneous recovery before 16 years of age. In this paper, we describe the results of anorectal function studies and treatment outcome in four patients in whom constipation and encopresis persisted beyond 15 years of age. Abnormalities in the ability to defecate water-filled balloons, in external sphincter relaxation with straining, in rectal sensation and development of the urge to defecate, and in maximum anal resting pressure were seen in some or all of these patients. In addition, two patients had impaired voluntary squeeze strength. Two patients responded to standard therapy; a colostomy was needed in one; and one failed therapy and has become a recluse.
儿童便秘伴大便失禁是一种常见病症。先前的报告表明，基本上所有患者要么对标准治疗有反应，要么在16岁之前自行康复。在本文中，我们描述了4例便秘和大便失禁持续超过15岁患者的肛肠功能研究结果及治疗结局。在部分或全部这些患者中，观察到在排出充水气球的能力、用力时外括约肌松弛、直肠感觉及便意产生以及最大肛门静息压力方面存在异常。此外，2例患者的随意收缩力量受损。2例患者对标准治疗有反应；1例需要进行结肠造口术；1例治疗失败并成为隐居者。
