先天性巨结肠术后大便失禁的诊疗进展  

Advances in the diagnosis and treatment of postoperative fecal incontinence in Hirschsprung disease

作　　者：谢川平 严佳虞 陈亚军[1] Xie Chuanping;Yan Jiayu;Chen Yajun(Department of General Surgery,Affiliated Beijing Children's Hospital,Capital Medical University&National Center for Children's Health,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普通外科,北京100045

出　　处：《中华小儿外科杂志》2024年第10期953-958,共6页Chinese Journal of Pediatric Surgery

摘　　要：先天性巨结肠(Hirschsprung disease,HSCR)是小儿外科最常见的消化道畸形之一,尽管大多数患儿术后能获得良好的远期预后,但仍有相当比例患儿术后出现大便失禁、便秘、肠炎等。其中大便失禁是HSCR术后远期排便功能损害的主要表现,显著影响患儿生活质量。本文通过回顾相关文献,总结HSCR术后大便失禁的产生原因、手术相关因素、治疗和对生活质量的影响,为临床诊疗提供依据,从而进一步降低术后大便失禁发生率,提高患儿生活质量。Hirschsprung disease(HSCR)is one of the most common digestive tract malformations of pediatric surgery.Despite decent long-term outcomes after pull-through,a large majority of children suffer from fecal incontinence,constipation and enterocolitis.And fecal incontinence is a major factor for long-term bowel function impairment and it significantly affects quality-of-life.Based upon reviewing the past literatures,this review focused upon its causes,surgical factors,proper treatments and impact of quality-of-life.Furthermore it helps to lower the incidence of fecal incontinence and boost quality-of-life after pull-through.

关 键 词：先天性巨结肠 大便失禁 生活质量 

分 类 号：R726.5[医药卫生—儿科]