Wester Tomas
Department of Pediatric Surgery, Karolinska University Hospital, Karolinska Institutet, Solna, 171 76 Stockholm, Sweden.
Pediatr Surg Int. 2013 Sep;29(9):883-7. doi: 10.1007/s00383-013-3354-0.
The prevalence of functional constipation in children is almost 10%. The etiology is multifactorial and not fully understood. In the majority of cases, there is no organic explanation for the symptoms. However, it is very important to exclude organic causes, particularly in neonates and infants. There are warning symptoms, such as delayed passage of meconium, bilious vomiting and abdominal distention that should prompt further investigations. Fecal incontinence is a very common symptom secondary to fecal impaction. The first-line treatment for both disimpaction and maintenance is use of laxatives. Parental education is extremely important. There are very limited data on surgical approaches for functional constipation.
儿童功能性便秘的患病率近10%。其病因是多因素的，尚未完全明确。在大多数情况下，症状并无器质性解释。然而，排除器质性病因非常重要，尤其是在新生儿和婴儿中。存在一些警示症状，如胎粪排出延迟、胆汁性呕吐和腹胀，这些症状应促使进一步检查。大便失禁是粪块嵌塞继发的常见症状。解除粪块嵌塞及维持治疗的一线方法是使用泻药。家长教育极其重要。关于功能性便秘手术治疗方法的数据非常有限。
