排便潴留型大便失禁患儿的肛门直肠测压：我们应评估哪些参数？
Anorectal manometry in children with retentive fecal incontinence: What parameters should we evaluate?
作者信息
Toro-Monjaraz E M, Peña-Vélez R, Ignorosa-Arellano K R, Zaráte-Mondragón F, Cervantes-Bustamante R, Ramírez-Mayans J A
机构信息
Departamento de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Coyoacán, Ciudad de México, México.
Departamento de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Coyoacán, Ciudad de México, México.
出版信息
Rev Gastroenterol Mex (Engl Ed). 2019 Jul-Sep;84(3):419-422. doi: 10.1016/j.rgmx.2019.02.012.
INTRODUCTION
Children with functional constipation frequently present with alterations in rectal compliance and the urge-to-defecate sensation that can be evaluated through anorectal manometry (ARM). In the present study, we evaluated the usefulness of the parameters obtained through ARM in children with retentive fecal incontinence (RFI).
MATERIALS AND METHODS
Children with functional constipation, aged 4 to 17years, that underwent ARM were included in the study.
RESULTS
Of the 35 children evaluated, 21 presented with functional constipation and 14 had functional constipation and RFI. The children with both constipation and RFI tolerated greater volumes of air insufflation for triggering the urge to defecate and reaching maximum tolerance of pain, compared with the children that did not have RFI. We identified the cutoff point of 135ml of air as the maximum tolerance sensation for distinguishing children with RFI.
CONCLUSIONS
Maximum tolerance of pain was the most useful parameter for evaluating RFI in children with functional constipation.
引言
功能性便秘患儿常伴有直肠顺应性改变及便意感异常，可通过肛门直肠测压（ARM）进行评估。在本研究中，我们评估了通过ARM获得的参数对有潴留性粪失禁（RFI）儿童的有效性。
材料与方法
本研究纳入了4至17岁接受ARM检查的功能性便秘患儿。
结果
在评估的35名儿童中，21名患有功能性便秘，14名患有功能性便秘合并RFI。与未患RFI的儿童相比，便秘合并RFI的儿童为诱发便意和达到最大疼痛耐受量能耐受更大体积的空气注入。我们确定135毫升空气为区分RFI儿童的最大耐受感觉的临界点。
结论
最大疼痛耐受量是评估功能性便秘儿童RFI最有用的参数。
Zotero 插件