摘要
Abstract
Objective Evaluate the neonates anorectal function after undergoing SCT resection.Methods A retrospective review of anorectal functional with SCT patients in our center (Department of Neonatal Surgery,Children's Hospital of Nanjing Medical University) was performed.Materials were recorded as follows:age at admission,symptoms and signs,surgical procedures,classification of Altman's,classification of histopathology.The anorectal function of the patients was followed-up with Krickenbeck's classification,focusing on free defecation,fecal contamination levels and constipation levels.Results A total of 92 SCT neonates were included in this study from February 2008 to January 2014.21 boys and 71 girls with a mean age of 18.5 ±6.6 days (range 1d-25d) underwent excision of SCT in the neonatal period.With the Altman's classification system,57 patients(62.0％) were classified as type Ⅰ,25 cases(27.1％) type Ⅱ and 10 cases(10.9％) type Ⅲ.In all cases,28 patients(30.4％) had anorectal dysfunction,including 7 cases(7.6％) of soiling (4 cases type Ⅰ,2 cases type Ⅱ and 1 case type Ⅲ),and 21 cases(22.8％) of constipation (13 cases type Ⅰ,6 cases type Ⅱ and 2 cases type Ⅲ).The incidence of postoperative anorectal dysfunction was not significantly difference with sex,histopathological classification,and surgical approaches (x2 =3.795,P =0.051;x2 =3.341,P =0.188;x2 =1.737,P =0.187).There is no significantly difference among type Ⅰ,type Ⅱ or type Ⅲ(x2 =0.040,P =0.980).There are significantly difference in the size of SCT among type Ⅱ or type Ⅲ(t =4.003,P =0.025;t =2.796,P =0.017).Conclusion Functional results after resection of neonatal (type Ⅰ,Ⅱ,Ⅲ) of SCT are excellent.Constipation is relatively common,with only a small number of patients reporting problems with fecal.关键词
骶尾部/畸胎瘤/外科手术/功能恢复/随访研究/婴儿,新生Key words
Sacrococcygeal Region/Teratoma/Surgical Procedures, Operative/Recovert of Function/Follow-Up Studies/Infant, Newborn
