Wessel L, Holland-Cunz S, Hosie S, Waag K L
Chirurgische Universitätsklinik, Mannheim.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:1047-52.
Anal sphinctermyectomy according to Lynn is an established therapy for chronic constipation in children. However, no consensus on indications exists and, according to the literature, results are contradictory. In order to clarify this problem, 33 children were examined and divided into two groups: I (n = 12) chronic constipation, and II (n = 21) dysganglionosis. All children were treated conservatively for at least a 6-month period and showed elevated anal resting tone in manometry. The operative results were assessed by anorectal manometry and a physical examination; subjective opinion was evaluated using a questionnaire. Anorectal manometry showed a marked decrease of anal resting tone of 30%, correlating to subjective relief of the symptoms.
根据林恩的方法进行的肛门括约肌切除术是治疗儿童慢性便秘的一种既定疗法。然而，对于该疗法的适应症尚无共识，并且根据文献，结果相互矛盾。为了阐明这个问题，对33名儿童进行了检查并分为两组：I组（n = 12）为慢性便秘，II组（n = 21）为神经节细胞缺乏症。所有儿童均接受了至少6个月的保守治疗，并且在测压中显示肛门静息压升高。通过肛门直肠测压和体格检查评估手术结果；使用问卷评估主观意见。肛门直肠测压显示肛门静息压明显降低了30%，这与症状的主观缓解相关。
