Aldaghi Mitra Azra, Yazdi Nafiseh Shourideh, Abadi Mohammad Esmail Ahmad, Mahmoudi Rahil, Lotfi Hadi
Department of Pediatrics Faculty of Medicine, Sabzevar University of Medical Sciences Sabzevar Iran.
Iranian Research Center on Healthy Aging Sabzevar University of Medical Sciences Sabzevar Iran.
JGH Open. 2025 Jun 29;9(7):e70202. doi: 10.1002/jgh3.70202. eCollection 2025 Jul.
Abdominal pain is one of the most common complaints to the pediatric clinic and can be challenging for the physician. Among children who present with abdominal pain, constipation is one of the main causes of abdominal pain, and its incidence in childhood is estimated at 1%-30%.
Hundrerd children with chronic constipation, defined according to the Rome IV constipation criteria, who were referred to Sabzevar Children's Clinic, were included in the study. Hundred people in the control group were selected from children without constipation who underwent abdominal ultrasound due to abdominal pain. Consent was obtained from the children's parents, and the child's consent was also obtained for ultrasound. Rectal diameter and rectal anterior wall thickness were measured by an experienced radiologist.
The results determined that the diameter of the rectum measured by ultrasound in children with constipation is greater than in the control group. Also, the thickness of the rectum was lower in children with constipation compared to the control group. It was found that there was no significant relationship between gender and constipation in children. There was a significant relationship between constipation in children and their body mass index (BMI) and age. The results of the study showed that there was no significant relationship between history of urinary tract infection and constipation and socioeconomic status in children. There was a significant relationship between the diameter of the rectum and the duration of constipation.
Ultrasound can be useful in diagnosing children with constipation in whom it is difficult to take a history and physical examination.
腹痛是儿科门诊最常见的主诉之一，对医生来说可能具有挑战性。在出现腹痛的儿童中，便秘是腹痛的主要原因之一，其在儿童期的发病率估计为1%-30%。
本研究纳入了100名根据罗马IV便秘标准定义为慢性便秘的儿童，这些儿童被转诊至萨卜泽瓦尔儿童诊所。对照组的100人从因腹痛接受腹部超声检查的无便秘儿童中选取。获得了儿童家长的同意，同时也获得了儿童进行超声检查的同意。由经验丰富的放射科医生测量直肠直径和直肠前壁厚度。
结果表明，便秘儿童经超声测量的直肠直径大于对照组。此外，便秘儿童的直肠厚度低于对照组。发现儿童的性别与便秘之间无显著关系。儿童便秘与其体重指数（BMI）和年龄之间存在显著关系。研究结果表明，儿童尿路感染史、便秘与社会经济状况之间无显著关系。直肠直径与便秘持续时间之间存在显著关系。
超声在诊断难以进行病史采集和体格检查的便秘儿童时可能有用。
