The change over time in the postoperative bowel function in male anorectal malformation patients who underwent sacroperineal anorectoplasty and sacroabdominoperineal anorectoplasty.
The change over time in the postoperative bowel function in male anorectal malformation patients who underwent sacroperineal anorectoplasty and sacroabdominoperineal anorectoplasty.
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男性肛门直肠畸形患者行骶会阴肛门直肠成形术和骶腹会阴肛门直肠成形术术后肠功能随时间的变化。
DOI：
10.1007/s00383-019-04540-y
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发表时间：
2019
影响因子：
1.8
通讯作者：
Ieiri S.
中科院分区：
文献类型：
--
作者：
Harumatsu T;Murakami M;Yano K;Onishi S;Yamada K;Yamada W;Masuya R;Kawano T;Machigashira S;Nakame K;Mukai M;Kaji T;Ieiri S.
目的对肛门直肠畸形（anorectal malformation，ARM）患者提出了多种手术方式。在我们的机构，骶会阴或骶腹会阴肛门直肠成形术（SP-SAP）已从1984年至2007年。本研究的目的是澄清随着时间的推移，在男性ARM patients.MethodsPatient数据收集术后肠功能的变化，从1984年至2007年。入选了52例高型和中型ARM男性患者。回顾性分析患者的临床特征及肠功能。根据日本ARM研究组的排空评分（ES）评价肠功能。结果52例男性患者的手术方式为SP-SAP。总ES按时间顺序显著改善，直至11岁。关于ES的临床分层，在11岁时，“优秀”和“良好”结果的比率超过91.9%。9岁时排便评分达到满意。便秘，尿失禁和弄脏的分数改善缓慢，但持续到11岁的age.ConclusionThe ES表现出持续改善后，一个明确的操作。了解改善的特点对ARM患者术后肠功能的管理非常重要。
PurposeMany kinds of operative procedures have been proposed for anorectal malformation (ARM) patients. At our institution, sacroperineal or sacroabdominoperineal anorectoplasty (SP-SAP) have been performed from 1984 to 2007. The aim of this study is clarify the change over the time in the postoperative bowel function in male ARM patients.MethodsPatient data were collected from 1984 to 2007. Fifty-two male patients with high- and intermediate-type ARM were enrolled. The patients’ characteristics and bowel function were reviewed and analyzed retrospectively. The bowel function was evaluated according to the evacuation score (ES) of the Japan Society of ARM Study Group.ResultsThe operative procedures were SP-SAP in 52 male patients. The total ES improved chronologically and significantly until 11 years of age. Regarding the clinical stratification of the ES, the ratio of “excellent” and “good” results was over 91.9% at 11 years of age. A satisfactory bowel movement score was achieved by 9 years of age. The constipation, incontinence and soiling scores improved slowly but continuously until 11 years of age.ConclusionThe ES showed continuous improvement after a definitive operation. An understanding of the characteristics of improvement is very important in managing the postoperative bowel function in ARM patients.