Iwai N, Kaneda H, Taniguchi H, Tsuto T, Yanagihara J, Takahashi T
Z Kinderchir. 1985 Apr;40(2):87-90. doi: 10.1055/s-2008-1059722.
Voluntary faecal continence after corrective surgery for anorectal malformations was assessed via electromyography (EMG) of the external sphincter muscle in 20 patients with anorectal malformations. Six normal children served as controls. Function of the external sphincter in patients with high type anomaly was disturbed from the points of tonic activity, inflation reflex, and activity during further rectal filling. Patients with a positive inflation reflex, regardless of the type of anorectal malformation, had good Kelly scores. Phasic activity was observed in patients with high-type anomaly, and in normal subjects and patients with other types of anomaly. Therefore, patients with high-type anomaly may acquire compensatory voluntary anal continence through training.
通过对20例肛门直肠畸形患者的外括约肌进行肌电图（EMG）检查，评估肛门直肠畸形矫正手术后的自主排便控制能力。6名正常儿童作为对照。高位畸形患者的外括约肌功能在紧张性活动、膨胀反射及直肠进一步充盈时的活动方面均受到干扰。无论肛门直肠畸形的类型如何，膨胀反射阳性的患者凯利评分良好。在高位畸形患者、正常受试者及其他类型畸形患者中均观察到阶段性活动。因此，高位畸形患者可能通过训练获得代偿性自主肛门节制能力。
