Soave-Denda手术后肛门直肠的蠕动功能

Motility of the anorectum after the Soave-Denda operation.

作者信息

Morikawa Y, Matsufugi H, Hirobe S, Yokoyama J, Katsumata K

机构信息

Department of Pediatric Surgery, Urawa City Hospital, Saitama, Japan.

出版信息

Prog Pediatr Surg. 1989;24:67-76. doi: 10.1007/978-3-642-74493-8_8.

DOI:10.1007/978-3-642-74493-8_8

PMID:2513615

Abstract

A total of 82 patients were assessed by rectal manometry after operation for Hirschsprung's disease according to the Soave-Denda technique. A positive rectoanal reflex was obtained in 32 cases (39%), whereas the remaining 50 cases (61%) did not exhibit a rectoanal reflex. Among the children examined, 72% showed normal rhythmic activity of the anorectum. Anorectal function tended to increase over the years, 90% having good continence 10 years or more after operation. Patients who encountered postoperative complications had poor continence since such complications may have damaged the levator and sphincter muscles.

摘要

根据索阿韦-丹达技术，对82例因先天性巨结肠症接受手术后的患者进行了直肠测压评估。32例（39%）获得了阳性直肠肛门反射，而其余50例（61%）未表现出直肠肛门反射。在接受检查的儿童中，72%显示出正常的肛门直肠节律活动。肛门直肠功能多年来有改善趋势，90%在术后10年或更长时间有良好的控便能力。出现术后并发症的患者控便能力差，因为此类并发症可能损害了提肌和括约肌。