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find Keyword "直肠肛管测压" 2 results
  • 扩肛在先天性巨结肠患儿术后治疗中的应用及效果

    目的分析扩肛在婴幼儿先天性巨结肠术后的应用及效果。 方法2011年1月-2012年6月,对100例先天性巨结肠术后患儿规范使用扩肛器进行为期6个月的扩肛。 结果5例吻合口狭窄患儿,给予加大型号延长扩肛3~6个月后好转;4例腹胀患儿,采取结肠灌洗1周和延长扩肛3个月后好转;3例小肠结肠炎者,经庆大霉素和甲硝唑结肠灌洗1周后好转。100例患儿扩肛前后其肛管静息压、直肠静息压、肛管最大收缩压、收缩持续时间比较,差异有统计学意义(P<0.001)。扩肛后肠蠕动增加,直肠肛管蠕动加强,压力增加。 结论先天性巨结肠患儿术后规范使用扩肛器能减少术后腹胀、小肠结肠炎发生率,增加肠蠕动频率幅度。

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  • Curative effect of preoperative three-dimensional anorectal endosonography in anal fistula surgery

    ObjectiveTo investigate effect of preoperative three-dimensional anorectal endosonography (3D-AREUS) in anal fistula surgery.MethodsA total of 100 patients with anal fistula who were admitted to the Chaoyang Central Hospital from December 2017 to December 2018 were included prospectively, then were randomly divided into ultrasound group and control group with 50 cases in each group. The preoperative examination was performed by 3D-AREUS in the ultrasound group, and preoperative routine examination, finger examination or probe exploration were performed in the control group. The postoperative recurrence and anal functions were compared between the two groups.ResultsThere were no statistically significant differences in the gender, age, body mass index, anal surgery history, preoperative anal function, etc. between the two groups (P>0.05). The detection rate of branch fistulas in the ultrasound group was significantly higher than that in the control group (P=0.025). For the patients with complex anal fistula, compared with the control group, the location accuracy rate of internal opening was higher (P=0.014), the change value of preoperative and postoperative fecal incontinence score was lower (P=0.039), anorectal pressure status (resting pressure of anal canal, anal systolic pressure, and length of anal high pressure zone) were lower (P<0.05) in the ultrasound group; For the patients with simple anal fistula, which had no significant differences between the ultrasound group and control group (P>0.05). There were 4 cases of recurrence in each group.ConclusionsFor complex anal fistula, preoperative 3D-AREUS could clarify position of internal opening, presence of branching fistula, and the relationship between fistula and sphincter, so as to make accurate surgical plans, reduce secondary injuries, and retain postoperative anal function of patients.

    Release date:2021-02-02 04:41 Export PDF Favorites Scan
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