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采用杜哈梅尔技术进行手术的患者的长期功能、测压及腔内超声评估。

Long-term functional, manometric, and endosonographic evaluation of patients operated upon with the Duhamel technique.

作者信息

Bjornland K, Diseth T H, Emblem R

机构信息

Department of Pediatric Surgery, The National Hospital, Oslo, Norway.

出版信息

Pediatr Surg Int. 1998 Jan;13(1):24-8. doi: 10.1007/s003830050236.

Abstract

Long-term functional results, anal endosonography (AES), and anal canal manometry were recorded in 48 patients aged 10 to 24 years (median 18) operated upon with the Duhamel technique for Hirschsprung's disease; 60.4% had perfect fecal control, 31.3% occasional staining and/or gas incontinence, and 8.3% constant fecal soiling, and 10.4% complained of constipation. Compared to normals, the patients had significantly reduced anal canal resting and squeeze pressures. AES visualized scar tissue in both the internal and external anal sphincter.

摘要

对48例年龄在10至24岁(中位数18岁)、采用杜哈梅尔技术治疗先天性巨结肠的患者记录了长期功能结果、肛门内超声检查(AES)和肛管测压;60.4%的患者有完美的粪便控制,31.3%的患者偶尔有染色和/或气体失禁,8.3%的患者持续粪便污染,10.4%的患者抱怨便秘。与正常人相比,这些患者的肛管静息压和收缩压显著降低。AES显示肛门内、外括约肌均有瘢痕组织。

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