CAJ | 학술논문

目的：通过回顾肠造瘘术后的患儿肛门直肠测压资料，评价肛门直肠测压相关指标在该类患儿中的作用。方法2011年7月至2013年7月期间，对53例在新生儿期行肠造瘘术后的患儿进行肛门直肠测压，并与钡剂灌肠、手术及病理资料进行对照。结果53例患儿中，回肠造瘘27例，结肠造瘘26例；47例存在直肠肛管抑制反射，6例减弱或消失。经手术及术后病理证实无神经节细胞症3例，神经节细胞发育不良5例，乙状结肠狭窄6例，胎粪性腹膜炎8例，坏死性小肠结肠炎31例。肛门直肠测压诊断HD/IND的符合率为96%。结论肛门直肠测压可有效提高肠造瘘术后患儿诊断正确率，指导临床治疗。
목적：통과회고장조루술후적환인항문직장측압자료，평개항문직장측압상관지표재해류환인중적작용。방법2011년7월지2013년7월기간，대53례재신생인기행장조루술후적환인진행항문직장측압，병여패제관장、수술급병리자료진행대조。결과53례환인중，회장조루27례，결장조루26례；47례존재직장항관억제반사，6례감약혹소실。경수술급술후병리증실무신경절세포증3례，신경절세포발육불량5례，을상결장협착6례，태분성복막염8례，배사성소장결장염31례。항문직장측압진단HD/IND적부합솔위96%。결론항문직장측압가유효제고장조루술후환인진단정학솔，지도림상치료。
Objective To evaluate the role of anorectal manometry in infants after enterostomy. Methods Anorectal manometry was performed in 53 enterostomal infants who was operated during neonatal period.The data of enem,surgery and pathology was analyzed at the same time. Results RAIR was normal in 47 patients and abnormal in 6.After surgery and pathology,3 was confirmed as Hirschsprung disease,5 was Intestinal neuronal dysplasia,6 was colonic stenosis,8 was meconium peritonitis,31 was neonatal necrotizing enterocolitis. Diagnostic accuracy rate of HD/IND was 96%. Conclusions Anorectal manometry was efficient in the diagnosis of infants after enterostomy.