Evaluation of anorectal functions of children with anorectal malformations using fecoflowmetry.
Evaluation of anorectal functions of children with anorectal malformations using fecoflowmetry.
复制标题
使用粪便流量计评估肛门直肠畸形儿童的肛门直肠功能。
DOI：
10.1053/jpsu.2002.31622
复制
发表时间：
2002
影响因子：
2.4
通讯作者：
Tetsuo Kato
中科院分区：
文献类型：
--
作者：
H. Kayaba;T. Hebiguchi;H. Yoshino;M. Mizuno;M. Yamada;J. Chihara;Tetsuo Kato
背景/目的
因此，有必要建立一种简便、客观的方法来评估肛门直肠畸形患者的肠功能。作者对肛门直肠畸形患者应用粪便流量法和生理盐水ENAMA试验来评估这些儿童的粪便动力学和肛门直肠运动。
方法
采用生理盐水灌肠试验和粪便流量法对16例肛门直肠畸形修补术患者和5例正常对照的肠功能进行了评价。研究肠功能的临床评分与粪便动力学参数之间的相关性。
结果
与对照组一样，16名患者中有7名患者表现出周期性的直肠收缩与肛管松弛同步，临床评分明显高于其他患者。2例重度慢性便秘患者无直肠收缩。临床评分低的患者直肠最大流量、平均流量和耐受量均显著低于对照组。最大挤压压和静息肛门压在患者组和对照组之间差异无统计学意义。
结论
粪便流量法和生理盐水灌肠试验等粪便动力学检查有助于获得肛门直肠异常患者的肠道功能的临床指标。
BACKGROUND/PURPOSE
A simple and objective method evaluating the bowel functions of patients with anorectal anomalies is necessary. The authors applied fecoflowmetry and saline enama test for patients with anorectal anomalies to evaluate the fecodynamics and anorectal motilities in these children.
METHODS
The bowel functions of 16 patients who underwent repair for anorectal malformations and 5 normal controls were evaluated by saline enema test and fecoflowmetry. The correlations between the clinical scores for the bowel functions and the parameters in fecodynamic studies were investigated.
RESULTS
Seven of 16 patients exhibited periodical contractions of the rectum synchronized with relaxations of the anal canal during saline infusion as did the controls and had significantly higher clinical scores than the other patients. Two patients with severe chronic constipation lacked rectal contractions. Among the fecoflowmetric parameters, the maximum flow, average flow, and tolerable volume of saline infused into the rectum were significantly lower in the patients with low clinical scores than those of the controls. The maximal squeeze pressure and resting anal pressure were not significantly different between the patients and controls.
CONCLUSION
Fecodynamic studies, such as fecoflowmetry and saline enema test, help in obtaining clinical indicators for the bowel functions of patients with anorectal anomalies.