3D肛门直肠测压在儿童肛门直肠术后肛管功能评估中的应用  

Application of three-dimensional anorectal manometry in postoperative assessment of anorectal function in children after anorectal surgery

作　　者：赵家伟 郭卫红[1] 陈永卫[1] Zhao Jiawei;Guo Weihong;Chen Yongwei(Department of Neonatal Surgery,Beijing Children's Hospital,Capital Medical University,National Children's Medical Center,Beijing 100045,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院新生儿外科,北京100045

出　　处：《中华小儿外科杂志》2022年第3期274-277,共4页Chinese Journal of Pediatric Surgery

摘　　要：肛门直肠畸形是小儿外科常见的消化道畸形,多数需要生后早期通过手术重建肛管。术后远期并发症主要是排便功能障碍,包括大便失禁、污粪、便秘等,影响患儿的生活质量,是目前术者、患儿及家长密切关注的问题。因此,肛门直肠畸形术后肛管功能的评估显得尤为重要,其方法和手段有多种,其中肛门直肠测压作为一种能够量化评估肛门直肠功能的辅助检查手段,越来越多地被运用到术后肛管功能的评估中,对预后及再治疗有着重要的指导意义。Anorectal malformations are common congenital digestive malformations requiring surgical interventions for reconstructing anal canal during an early life period.Defecation dysfunctions,such as fecal incontinence,soiling or constipation,are the most common postoperative long-term complications affecting the quality-of-life of children.Therefore proper postoperative assessment of anorectal function is vital.Anorectal manometry is currently the most prevalent method for examining functional anorectal disorders of reconstructed anal canal in postoperative patients.Real-time three-dimensional information of anorectal canal is quantitative and comparable.It provides an important guide for prognosis and rehabilitation.

关 键 词：肛门直肠畸形 先天性巨结肠 肛管 

分 类 号：R726.5[医药卫生—儿科]