Inquisition on the pathogeny and treatment of anorectal malformation induced postoperative dysporia in children
- VernacularTitle:小儿肛门直肠畸形术后排便障碍的原因及治疗
- Author:
Liping SHEN
- Publication Type:Journal Article
- Keywords:
Anorectal malformation;
Postoperative dysporia;
Pathogeny and treatment
- From:
Journal of Clinical Surgery
2002;0(S1):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the pathogeny,pathological characteristics and treatments of anorectal malformation induced postoperative dysporia in children.Methods Between January 1985 and December 1998,120 children with anorectal malformation were treated.Of thesepatients,follow-up has ranged 106 children(78 males,28 females),from 4 to 14 years (median,10 years).The ratio of follow-up was 80%.Results 38 patients were high-type anomalies (36%),and with postoperative dysporia (36%),32 patients were intermediate-type anomalies (30%),15 cases with postoperative dysporia (14%),36 patients were low-type anomalies (34%),6 cases with postoperative dysporia (6%).Conclusions Among the high anorectal malformation patients,no one reached normal fecal continence.This may be due to bony spinal deformities and variable degrees of neurologic deficit.Intermediate and low anorectal malformation induced postoperative dysporia may be associated with surgical techniques.The application of laparoscopic assisted techniques for high and intermediate anorectal malformation has led to dramatic improvement in postoperative dysporia.
