Mladenov A
Khirurgiia (Sofiia). 1998;51(1):51-9.
Objective continence evaluation in children operated for anorectal malformation gives rise to complex sociomedical and ethical problems. Its adequate solution requires the use of high-precision methods for continence capacity assessment. Anorectal manometry is one of them--it enables the adoption of clearcut criteria in estimating the effect of operation, indications for reoperation and the patient's early- and long-term prognosis. The electromanometric examination, included in the comprehensive diagnostic and therapeutic protocol, still remains a procedure indispensable in evaluating the outcome of surgery in congenital anorectal malformations.
对接受肛门直肠畸形手术的儿童进行客观的控尿能力评估会引发复杂的社会医学和伦理问题。要妥善解决这些问题,需要采用高精度的控尿能力评估方法。肛门直肠测压法就是其中之一——它能在评估手术效果、再次手术指征以及患者的早期和长期预后时采用明确的标准。综合诊断与治疗方案中包含的电子测压检查,在评估先天性肛门直肠畸形的手术效果时仍然是必不可少的一项检查。