Johnstone J M, Krishnan H
Department of Surgery, The Leicester Royal Infirmary, UK.
J R Coll Surg Edinb. 1997 Aug;42(4):269-71.
Painful defaecation is a common and distressing problem in children. A retrospective study has been made of 27 such children who underwent examination under anaesthetic and anal dilatation as part of their overall management. At operation, fifteen were found to have perianal skin inflammation and fissuring. Follow-up was continued where possible until symptoms resolved. The length of follow-up ranged from 1 to 18 months (mean 7 months). At discharge, 21 of the children were cured or substantially better. The author concludes that anal dilatation may help in the management of these children but only as part of an overall strategy of medical care.
排便疼痛是儿童常见且令人苦恼的问题。对27名此类儿童进行了一项回顾性研究，这些儿童在全身治疗过程中接受了麻醉下检查和肛门扩张术。手术时，发现15名儿童存在肛周皮肤炎症和肛裂。尽可能持续随访直至症状缓解。随访时间为1至18个月（平均7个月）。出院时，21名儿童治愈或明显好转。作者得出结论，肛门扩张术可能有助于这些儿童的治疗，但仅作为整体医疗策略的一部分。
