排便障碍患儿的盲肠造口术  

Cecostomy in children with defecation disorders

作　　者：Mousa H.M. Van Den Berg M.M. Caniano D.A. 成虹 

机构地区：[1]Columbus Children's Hospital, ED 426, 700 Children's Drive, Columbus, OH 43205, UnitedStates Dr.

出　　处：《世界核心医学期刊文摘（胃肠病学分册）》2006年第5期15-15,共1页Core Journals in Gastroenterology

摘　　要：Administration of antegrade enemas through a cecostomy is a therapeutic option for children with severe defecation disorders. The purpose of this study is to report our 4 year experience with the cecostomy procedure in 31 children with functional constipation (n = 9), Hirschsprung’ s disease (n = 2), imperforate anus (n = 5), spinal abnormalities (n = 8), and imperforate anus in combination with tethered spinal cord (n = 7). Data regarding complications, antegrade enemas used, symptoms, and quality of life were retrospectively obtained. Placement of cecostomy tubes was successful in 30 of 31 patients. Soiling episodes decreased significantly in children with functional constipation (P = 0.01), imperforate anus (P < 0.01), and spinal abnormalities (P = 0.04). Quality of life improved in patients with functional constipation and imperforate anus. No difference in complications was found between percutaneous and surgical placement. Use of antegrade enemas via cecostomy improved symptoms and quality of life in children with a variety of defecation disorders.Administration of antegrade enemas through a cecostomy is a therapeutic option for children with severe defecation disorders. The purpose of this study is to report our 4 year experience with the cecostomy procedure in 31 children with functional constipation （n = 9）, Hirschsprung＇s disease （n = 2）, imperforate anus （n = 5）, spinal abnormalities （n = 8）, and imperforate anus in combination with tethered spinal cord （n = 7）. Data regarding complications, antegrade enemas used, symptoms, and quality of life were retrospectively obtained. Placement of cecostomy tubes was successful in 30 of 31 patients. Soiling episodes decreased significantly in children with functional constipation （P = 0. 01）, imperforate anus （P 〈0.01）, and spinal abnormalities （P = 0.04）. Quality of life improved in patients with functional constipation and imperforate anus. No difference in complications was found between percutaneous and surgical placement. Use of antegrade enemas via cecostomy improved symptoms and quality of life in children with a variety of defecation disorders.

关 键 词：盲肠造口 排便障碍 肠造口术 患儿 HIRSCHSPRUNG病 顺行性结肠灌洗术 功能性便秘 脊髓栓系综合征 肛门闭锁 生活质量 

分 类 号：R730.56[医药卫生—肿瘤] R657.1[医药卫生—临床医学]