[神经源性大便失禁的保守治疗。我们在儿童中的经验]
[Conservative treatment of neurogenic fecal incontinence. Our experience with children].
作者信息
Fernández Eire P, Varela Cives R, Castro Gago M
机构信息
Servicio de Cirugía Pediátrica, Hospital General de Galicia, Santiago de Compostela.
出版信息
An Esp Pediatr. 1998 Mar;48(3):256-60.
OBJECTIVE
The objective of this study was to present the use of retrograde colon enema in myelodysplasic patients with fecal incontinence.
PATIENTS AND METHODS
Thirty-three patients, 16 males and 19 females, 5 to 22 years old (average age 11.9 years) with spina bifida and fecal incontinence which obliged them to use a diaper. Retrograde colon enema procedures were performed in all of them.
RESULTS
With the use of the retrograde enema the best rectal emptying was achieved and kept 32 children (97%) diaper free after a follow-up period of more than two years. Only one girl (3%) needed pads because she was not able to defecate in an appropriate place after administering the enema.
CONCLUSIONS
The retrograde enema is the best conservative treatment for children with neurogenic fecal incontinence. This method achieves good rectal emptying allowing the children to be diaper free, resulting in better social adaptation and integration.
目的
本研究的目的是介绍逆行结肠灌肠在患有大便失禁的骨髓发育异常患者中的应用。
患者与方法
33例患者，16例男性和19例女性，年龄5至22岁（平均年龄11.9岁），患有脊柱裂和大便失禁，因此需要使用尿布。所有患者均接受了逆行结肠灌肠操作。
结果
通过使用逆行灌肠，在超过两年的随访期后，32名儿童（97%）实现了最佳的直肠排空并保持无需使用尿布。只有一名女孩（3%）需要使用护垫，因为在灌肠后她无法在合适的地方排便。
结论
逆行灌肠是治疗神经性大便失禁儿童的最佳保守治疗方法。这种方法可实现良好的直肠排空，使儿童无需使用尿布，从而实现更好的社会适应和融入。
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