Functional results of coloanal anastomosis with reservoir

Functional results of coloanal anastomosis with reservoir
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结肠储库吻合术的功能结果

DOI:
10.1007/bf02047870
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发表时间:
1992
影响因子:
3.9
通讯作者:
J. F. Bosset
J. F. Bosset
中科院分区:
医学2区
文献类型:
--
作者:
É. Pélissier;Dominique Blum;Aziz Bachour;J. F. Bosset

文献摘要

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在结肠造口闭合后3个月及之后(16.2+/-5.7个月),对33例结肠肛管吻合术患者的功能结果进行前瞻性评估,并与36名健康对照进行比较。我们无法证明患者和对照组在排便频率、排便需要的感觉、大便和胀气的控制、胀气和粪便的区分、紧迫性和佩戴保护垫的需要等方面有任何显著差异。两组患者排便能力差异有统计学意义,对照组(评分= 1.03)优于患者(评分= 1.63),差异有统计学意义(P< 0.001)。这些结果表明,除了排泄能力外,结肠肛管与贮液器的吻合功能几乎正常。
: Functional results in 33 patients who underwent a coloanal anastomosis with reservoir were prospectively evaluated three months after colostomy closure and later (16.2+/-5.7 months) and were compared with those of 36 healthy controls. We were unable to demonstrate any significant difference between patients and controls concerning frequency of stools, feeling of the need to defecate, continence of stools and flatus, differentiation between flatus and feces, urgency, and need to wear a protective pad. There was a statistically significant difference concerning the ability to evacuate, which was better in the control group (score= 1.03) than in the patients (score= 1.63)(P< 0.001). These results suggest that coloanal anastomosis with reservoir provides nearly normal function except for the ability to evacuate.