All Title Author
Keywords Abstract


肛门直肠畸形术后便失禁的相关因素分析

, PP. 267-270

Keywords: 先天性直肠肛门畸形,肛门成形术便失禁

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的通过对先天性直肠肛门畸形患儿肛门成形术术后便失禁的多因素分析,总结影响直肠肛门畸形术后便失禁的因素。方法选取109例肛门成形术术后患儿资料进行回顾性分析,术后随访1年至10年(平均5.2年/人),以便失禁作为因变量Y,选取9个自变量,取显著性水平为0.05进行Logistic非线性回归分析。结果便失禁者25例,占27.8%,其中1度19例,2度4例,3度2例,进入Logistic方程中的因素分别为临床分型、成形次数、伤口愈合等级及合并症四项(P<0.05)。结论患儿术后便失禁的发生与临床分型、成形次数、伤口愈合等级及合并症四个因素密切相关。

References

[1]  Mohamed A,Eltomey, Lane F,et al.Postoperative Pelvic MRI of Anorectal Malformations[J].AJR,2008,191:1469-1476.
[2]  林虹, 朱倩仪, 詹江华.先天性直肠肛门畸形肛门功能不良的新认[J].天津医学杂志,2011,39:88-90.
[3]  Ros Mendoza LH, Sarría Octavio de Toledo L, Martínez Mombila E, et al.Morphologic evaluation of fecal incontinence by magnetic resonance imaging in patients with corrected anal atresia[J].An Pediatr(Barc),2008,68(3):232-238.
[4]  张金哲.排便控制功能研究的回顾大肠肛门病外科杂志,1999,5(1):48-53.
[5]  施诚仁.先天性肛门直肠畸形治疗中尚需注意的几个问题[J].临床外科杂志,2008,16:293-294.
[6]  杜勇,宋家其,施成仁,Currarino三联症 [J].临床儿科杂志,1999,17(6):366- 367.
[7]  Pena A, Levitt M.Imperforate anus and cloacal malformations[M]//Ashcraft KW, Holcomb GW, Murphy JP, eds.Pediatric surgery.Philadelphia, PA: Saunders, 2005:496 ?517.
[8]  S Hassett, S Snell, A Hughes-Thomas, et al.10-year outcome of children born with anorectal malformation, treated by posterior sagittal anorectoplasty,assessed according to the Krickenbeck classification[J].Pediatr Surg, 2009,44(2): 399-403.
[9]  王维林.先天性肛门直肠畸形基础与临床研究[J].继续医学教育,2006,20(18):22-24.
[10]  刘贵麟.无肛术后肛门失禁治疗中的一些问题[J].临床外科杂志,2008,5:308-309.
[11]  EE Hartman, FJ Oort, DC Aronson, et al.Quality of life and disease-specific functioning of patients with anorectal malformations or Hirschsprung's disease: a review[J].Arch Dis Child, 2011,96:398-406.
[12]  J Grossfeld, JAO'Neill, Jr Eric, et al.Pediatric Surgery(Simplified Chinese edition)[M].6th edition[J].Peking University Medical Press,2009:1597-1639.
[13]  Hartman EE, Oort FJ, Sprangers MA, et al.Factors affecting quality of life of children and adolescents with anorectal malformations or Hirschsprung disease[J].J Pediatr Gastroenterol Nutr,2008,47:463?471.
[14]  Hamid CH, Holland AJ, Martin HC.Long-term outcome of anorectal malformations: the patient perspective[J].PediatrSurg Int,2007, 23(2): 97-102.

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

微信:OALib Journal