Ponticelli A, Iacobelli B D, Mosiello G, Lucchetti M C, Spagnoli A
Divisione di Chirurgia Pediatrica, Ospedale Bambino Gesù, Roma.
Minerva Pediatr. 1996 May;48(5):217-20.
The authors report their experience in the treatment of the chronic constipation in paediatric age. During the last 3 years (1991-1994), 230 children presenting chronic constipation have been studied at the Strumental Gastroenterologic Department of Children Hospital Bambino Gesù; 19 of them (8%), 10 male and 9 female, were studied with anorectal manometry, defecography and Intestinal Transit test. All the patients had a overtone (high squeeze) of the anal sphincter and the medical treatment was unsuccessful. They underwent sphincteromyectomy by posterior approach. In 17 patients it has been obtained a notable improvement of the symptomatology with regularization of the evacuations. The simplicity of the surgical technique, the absence of complications and the obtained results confirm the validity of sphinteromyectomy in the therapy of the chronic constipation in paediatric age. Interoperating anorectal manometry proved to be essential both in modulating sphincteromyectomy and in its eventual complications.
作者报告了他们在治疗小儿慢性便秘方面的经验。在过去3年（1991 - 1994年）中，“ Bambino Gesù儿童医院”胃肠病检查科对230例患有慢性便秘的儿童进行了研究；其中19例（8%），10名男性和9名女性，接受了肛门直肠测压、排粪造影和肠道运输试验。所有患者的肛门括约肌均有高张力（高挤压），药物治疗均未成功。他们接受了后路括约肌切除术。17例患者的症状得到了显著改善，排便恢复正常。手术技术的简单性、无并发症以及所取得的结果证实了括约肌切除术在小儿慢性便秘治疗中的有效性。术中肛门直肠测压被证明在调节括约肌切除术及其可能的并发症方面都至关重要。
