Rintala R, Lahdenne P, Lindahl H, Siimes M, Heikinheimo M
Children's Hospital, University of Helsinki, Finland.
J Pediatr Surg. 1993 Sep;28(9):1165-7. doi: 10.1016/0022-3468(93)90156-f.
Fecal continence and quality of life were evaluated by a questionnaire in 26 adult patients (mean age, 30 years; 6 men, 20 women) who had undergone surgery for a benign sacrococcygeal teratoma in infancy. The fecal continence was assessed by a score described by Holschneider. Twenty-six healthy people with a similar age and sex distribution were used as controls. Good fecal continence was reported by 88% of the patients; however, only 27% had completely normal bowel habits. Some fecal soiling was present in 27% of the patients. No correlation between the severity of aberrations in anorectal functions and the degree of intrapelvic extension of the tumor was found. Social problems related to deficient anorectal function were reported by 27% of the patients. Other health problems including urinary incontinence were reported by 50% of the patients. All the controls had good fecal continence; 77% of them had completely normal bowel habits. The present study shows that at the adult age, a significant proportion of patients who have undergone surgery for sacrococcygeal teratoma suffer from deficient anorectal function and a diminished quality of life.
通过问卷调查对26例成年患者（平均年龄30岁；男性6例，女性20例）的大便失禁情况和生活质量进行了评估，这些患者在婴儿期接受过良性骶尾部畸胎瘤手术。采用霍尔施奈德描述的评分法评估大便失禁情况。选取26名年龄和性别分布相似的健康人作为对照。88%的患者报告大便控制良好；然而，只有27%的患者排便习惯完全正常。27%的患者存在一些大便污染情况。未发现肛门直肠功能异常的严重程度与肿瘤盆腔内扩展程度之间存在相关性。27%的患者报告了与肛门直肠功能不足相关的社会问题。50%的患者报告了包括尿失禁在内的其他健康问题。所有对照者大便控制良好；其中77%的人排便习惯完全正常。本研究表明，在成年期，相当一部分接受过骶尾部畸胎瘤手术的患者存在肛门直肠功能不足和生活质量下降的问题。
