临床小儿外科杂志2017，Vol.16Issue(2)：151-154,4.DOI:10.3969/j.issn.1671-6353.2017.02.011
扩肛治疗在婴幼儿便秘及巨结肠根治术后的应用研究
Application of anal dilation in infants with constipation and after radical surgery for Hischsprung's disease
摘要
Abstract
Objective To explore the efficacies of anal dilatation in the treatment of constipation and post-operation of Hischsprung's disease in children.Methods Sixty functional constipation infants and 60 children undergoing transanal one-stage pull-through operation for Hirschsprung's disease were selected for using our self-patented anal dilating device.During a follow-up period of at least 6 months,their stooling patterns were examined with the informed parental questionnaire.Barium enema,defecography and anorectal manometry were performed for evaluating stooling patterns,colonic motility and sphincter function.Results In the functional constipation group,stooling patterns were generally fine after anal dilatation.Occasional constipation in 8 cases was relieved after interventions and constipation persisted another 2 cases.The rate of colonic delayed emptying in post-treatment was significantly lower than that in pre-treatment (P ＜ 0.01).The negative rate of rectal anal inhibitory reflex (RAIR) and disturbance of anal peristaltic wave were also significantly lower post-treatment than that prior-treatment (P ＜ 0.01).In the postoperative group,the pattern of stooling decreased to once daily by anal dilatation for 6 months.The rate of colonic delayed emptying,negative rate of RAIR and disturbance of anal peristaltic wave post-treatment were significantly lower than that prior-treatment (P ＜ 0.01).Conclusions Satisfactory outcomes of stooling function,colonic motility and sphincter performance may be obtained with anal dilatation in both functional constipation and postoperative groups.关键词
Hirschsprung病/便秘/治疗/婴儿Key words
Hirschsprung Disease/Constipation/Therapy/Infant引用本文复制引用
李智,袁宏耀,郭先娥,孙晓毅..扩肛治疗在婴幼儿便秘及巨结肠根治术后的应用研究[J].临床小儿外科杂志,2017,16(2):151-154,4.基金项目
国家自然科学基金(81400579) （81400579）
