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目的 :探讨儿童特发性便秘的诊断。方法 :对 2 0 0 0年 6月至 2 0 0 2年 1 0月经结肠造影和肛门直肠测压诊断的 86例特发性便秘的临床资料进行分析。结果 :男 4 4例 ,女 4 2例 ,婴儿期 9例 ,幼儿期 6 6例 ,学龄期 1 1例。结肠造影检查 86例 ,其中未见异常 75例 ,直肠扩张 5例 ,乙状结肠冗长 3例 ,直肠扩张合并乙状结肠冗长 3例 ;肛门直肠测压 4 4例 ,其中未见异常1 6例 ,排便弛缓反射异常 1 2例 ,直肠肛门抑制反射 (RAIR)异常 2 2例 ,感觉功能障碍 1 0例。获得随访 6 8例 ,其中痊愈 4 7例 (6 9. 1 % ) ,好转 1 1例 (1 6 . 2 % ) ,无效 1 0例 (1 4 7% )。结论 :结肠造影结合肛门直肠测压检查可提高儿童特发性便秘的诊断
Objective: To investigate the diagnosis of idiopathic constipation in children. Methods: Clinical data of 86 patients with idiopathic constipation diagnosed by colonic angiography and anorectal manometry from June 2000 to October 2002 were analyzed. Results: There were 4 4 males and 4 females, 9 infants, 6 6 infants, and 11 school-age children. Colonoscopy was performed in 86 cases, of which 75 cases were abnormal, 5 cases were rectum dilatation, 3 cases were sigmoid colon redundant, 3 cases were rectum dilatation combined with sigmoid colon lengthy; 4 cases were anorectal manometry, of which 16 cases were abnormal, Abnormalities in 12 cases, rectal anorectal reflex (RAIR) abnormalities in 22 cases, sensory dysfunction 10 cases. Sixty-eight patients were followed up, 47 of them were cured (69.1%), 11 (16.2%) were improved and 10 (114%) were ineffective. Conclusion: Colonic angiography combined with anorectal manometry can improve the diagnosis of idiopathic constipation in children