Barr R G, Levine M D, Wilkinson R H, Mulvihill D
Clin Pediatr (Phila). 1979 Nov;18(11):674, 676, 677-9, passim. doi: 10.1177/000992287901801103.
A scoring method was developed to assess severity of stool retention using plain abdominal radiographs. To determine whether the technique was clinically valid in identifying chronic stool retention, the method was used to evaluate films taken of children with known stool retention before and after therapy. The method showed significant statistical differences between symptomatic pre-therapy films and controls and between pre- and post-therapy films of treatment "successes." No significant differences were found between pre- and post-therapy "failures." Use of radiographs is not a substitute for careful history taking and examination, but this scoring method for evaluating stool retention can be recommended prior to more extensive, invasive investigations in children presenting with functional abdominal complaints.
开发了一种评分方法，用于通过腹部平片评估粪便潴留的严重程度。为了确定该技术在识别慢性粪便潴留方面是否具有临床有效性，该方法被用于评估已知有粪便潴留的儿童在治疗前后拍摄的X光片。该方法显示，有症状的治疗前X光片与对照X光片之间以及治疗“成功”的治疗前和治疗后X光片之间存在显著的统计学差异。治疗“失败”的治疗前和治疗后X光片之间未发现显著差异。X光片检查不能替代仔细的病史采集和体格检查，但对于有功能性腹部不适的儿童，在进行更广泛、侵入性更强的检查之前，可以推荐使用这种评估粪便潴留的评分方法。
