脊髓拴系综合征术后结肠传输时间测定及意义  

Postoperative colonic transit time in children with tethered cord syndrome

作　　者：侯翔宇[1] 王维林[1] 袁正伟[1] 张树成[1] 白玉作[1] 

机构地区：[1]中国医科大学第二临床医院小儿外科,沈阳110004

出　　处：《中华小儿外科杂志》2005年第2期65-67,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨脊髓拴系综合征术后远期结肠动力改变情况。方法对15例脊髓拴系综合征术后患儿进行临床评分和结肠传输时间的测定。结果应用6分法评分标准,将脊髓拴系综合征术后患儿分为排便功能优良组和劣组。与对照组相比,优良组各节段结肠传输时间均无明显差异,劣组TCTT、LCTT、RSTT明显延长,二组相比分别为(59.9±25.0)h比(28.7±7.7)h,P<0.05;(13.9±8.1)h比(6.5±3.8)h,P<0.05;(34.7±22.0)h比(13.4±5.6)h,P<0.05。与优良组相比,劣组TCTT、LCTT、RSTT明显延长,二组相比分别为(59.9±25.0)h比(25.9±3.2)h,P<0.05;(13.9±8.1)hvs(6.2±1.6)h,P<0.05;(34.7±22.0)h比(13.3±2.6)h,P<0.05。结论脊髓拴系综合征术后患儿排便功能障碍主要表现为结肠传输时间正常型和混合型。Objective To evaluate the colonic motor function in postoperative children with tethered cord syndrome (TCS).Methods Fifteen postoperative children with TCS were followed up. A simplified method of radio opaque markers was used in this study to determine the total and segmental colonic transit time. Results The children were divided into fair and poor function group. There was no difference between the fair and control groups. In the poor function group, the TCTT, LCTT and RSTT were significantly longer than those of the controls ({59.9}±{25.0h} vs {28.7}±{7.7h , P<~0.05 ;~13.9 ±~8.1h vs ~6.5 ±~3.8h ,P<~0.05 ;~34.7 ±~22.0h vs ~13.4 ±~5.6h ,P<~0.05 ). They were also significantly longer than those of the fair function group (~59.9 ±~25.0h vs ~25.9 ±~3.2h ,P<~0.05 ;~13.9 ±~8.1h vs ~6.2 ±~1.6h ,P<~0.05 ;~34.7 ±~22.0h vs ~13.3 ±~2.6h ,P<~0.05 ). Conclusions The colonic transit disorder in the postoperative children with TCS manifests as normal transit and mixed type constipation.

关 键 词：脊髓拴系综合征 结肠传输时间 术后 排便功能 患儿 结肠动力 对照组 延长 

分 类 号：R726.5[医药卫生—儿科]