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    In 9 children with severe fecal incontinence(scores 0~2),6 children had behavior problems. It is significantly higher than that of other children.
    9例重度便失禁 (肛门功能临床评分 0~ 2分 )患儿中 ,6例存在行为问题 ,明显高于其他患儿。
    Conclusion Severe fecal incontinence have influence on behavior problems of children with anorectal malformation. They need long term follow-up to improve their quality of life.
    结论 严重便失禁影响肛门直肠畸形患儿行为问题 ,应进行长期随访 ,提高其生活质量
    Conclusions The dysfunction of internal anal sphincter is the main cause of soiling and fecal incontinence.
    结论 术后肛门内括约肌功能不全是污粪的主要原因 ,术后外括约肌功能代偿性增强。
    The postoperative fouowed-up of feces and urine incontinence was evaluated as 4,3,2,1,0 score respectively,and the numbers of the patients were 28,37,23,4,4 respectively;
    术后随访大便失禁 ,评价结果 :分别是 4分钟者 2 8例 ,3分者 37例 ,2分者 2 3例 ,1分、0分者各 4例 ;
    Results 45 cases were primarily cured and 1 case was secondarily cured. No anal incontinence, stricture or other complications were found.
    结果45例一期治愈,1例二期治愈,无肛门失禁、肛门狭窄等并发症。
    After followed up for an average of 2 8 years, it was found that the patients were free from nocturnal incontinence, with micturition frequency of 5~6/d, and the urinary volume varied from 250 to 500 ml each time.
    其中 5例患者经过平均 2 8年的随访 ,夜间无尿失禁 ,每天排尿 5~ 6次 ,每次尿量 2 5 0~ 5 0 0ml。
    fecal incontinence in 3( 6.7% );
    大便失禁 3例 (6 .7% ) ;
    urinary incontinence in 4 ( 8.9% );
    小便失禁 4例 (8.9% ) ;
    Results:The total cure rate was 97 5%,and the cure course was 17~36 days,averaging 26 5 days,postoperational followup was 0 5~2 years which no relapse,and incontinence,and anal deformity was found and anal function was normal.
    结果 :治愈率 97 5 % ,治愈时间 1 736d ,平均 2 6 5d ,术后随访半年至 3年 ,无复发及肛门失禁、肛门畸形等后遗症 ,肛门功能正常。
    Conclusion Fecal incontinence could be evaluated with the speed-constant rectal lavage apparatus, which yields objective and quantitative results.
    结论由恒速灌肠器提供的脉冲恒速高压水流能够用于肛门直肠控便功能的评估,恒速灌肠法具有客观、即时、定量的优点。
    All were shortened (P< 0.05),and the incidence of anal malformation ( 5.2% , P< 0.01) and partial anal incontinence( 2.1% , P< 0.01) was lower.
    肛门畸形发生率低(5.2%,P<0.01); 肛门部分失禁发生率低(2.1%,P<0.01);
    Results the operation time was mean 19.54 minutes in group A and 13.01 minutes in group B,the pain mean scores at 24 hours after operation were 4.14 and 5.52 respectively. Mean follow-up period was 7 months (3~15 months). No incontinence,recurrence and anus stenosis were found in both groups.
    结果两组患者手术时间分别是19.54min和13.01min,术后24h疼痛平均评分分别是4.14和5.52,平均随访期为7月(3~15个月),术后1月内患者排便不适感B组略多于A组,两组均无大便失禁、复发、肛门狭窄发生。
    The complications after operation were anus pain(30 cases),anus bleated(100 cases),hematochezia(90 cases),temporary incontinence of stool(5 cases),stoma granulomatous(1 case).
    术后并发症主要为肛门疼痛30例,肛门坠胀100例,大便带血90例,暂时性排便感觉异常5例,吻合口肉芽肿1例。
    Mean cystometric volume increased from 95.4 ml to 385.6 ml,mean maximum storage detrusor pressure decreased from 105.8 cmH_2O to 31 cmH_2O. After the second injection,the mean frequency of incontinence decreased from 9.7 /d to 3.7 /d. The mean volume of IC increased from 108.3 ml to 387.2 ml each time.
    第1次注射后平均尿失禁次数由10.1/d降至3.3/d,平均导尿量由98.5 ml/次增至404.2 ml/次,平均最大膀胱测压容积由95.4 ml增至385.6 ml,平均充盈末逼尿肌压力由105.8 cmH2O降至31 cmH2O。
    Mean cystometric bladder storage volume increased from 105.4 ml to 375.6 ml. Mean maximum storage detrusor pressure decreased from 97.8 cmH_2O to 33 cmH_2O. After the third injection,the mean frequency of incontinence decreased from 9.2 /d to 3.9 /d.
    第2次注射后平均尿失禁次数由9.7/d降至3.7/d,平均导尿量由108.3 ml/次增至387.2 ml/次,平均最大膀胱测压容积由105.4 ml增至375.6 ml,平均充盈末逼尿肌压力由97.8 cmH2O降至33 cmH2O。
    gov / PubMed was undertaken to identify the articles about about anorectum manometry and functional incontinence or biofeedback published in English from January 1999 to February 2005 by using the Keywords of "anorectum manometry, functional incontinence, biofeedback".
    gov/PubMed的1999-01/2005-02的关于直肠肛门测压、功能性大便失禁和生物反馈的相关文献,检索词为“anorectummanometry,functionalincontinence,biofeedback”,限定文献语种为English。
    DATA EXTRACTION:Totally 10 randomized controlled clinical trials about the anorectal manometry of functional incontinence and 46 about functional incontinence treated by biofeedback were collected, and the duplicate trials and reviews were excluded.
    资料提炼:共收集到10篇关于功能性大便失禁的直肠肛门测压和46篇功能性大便失禁的生物反馈随机对照临床试验文献,排除重复试验和综述文献。
    DATA SYNTHESIS: ① Anorectal manometry: It was summarized that the methods of anorectal manometry and physiological significance of the indexes (anal canal resting pressure and anal canal squeeze pressure or rectal compliance) and the clinical significance in patients with functional incontinence.
    资料综合:①直肠肛门测压:总结了直肠肛门测压方法、测压指标(肛管静息压,肛管最大缩榨压,直肠顺应性)的生理意义和在功能性大便失禁患者的临床意义。
    Result:After the first injection of BTXA,the frequency of incontinence decreased from 13.5 to 2.7 times per day,the volume of incontinence reduced from 1690ml to 281ml,the volume for intermittent catheterization(IC) increased from mean 131ml to 389ml.
    结果:78例患者经第1次治疗后平均尿失禁次数由13.5次/d降至2.7次/d、平均导尿量由131ml/次增至389ml/次,平均尿失禁量由1690ml/d降至281ml/d,起效的平均时间为7.6d。
    10 cases received the second injection in 8.9 months after the first one; incontinence decreased from 9.7 to 3.7 times per day,the volume for IC increased from mean 108ml to 387ml.
    10例患者在第1次注射8.9个月后接受第2次注射,平均尿失禁次数由9.7次/d降至3.7次/d,平均导尿量由108ml/次增至387ml/次。
 

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