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首页> 外文期刊>International journal of colorectal disease. >Evaluation of long-term functional outcomes after surgical treatment of anorectal malformations.
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Evaluation of long-term functional outcomes after surgical treatment of anorectal malformations.

机译：肛肠畸形手术治疗后长期功能结局的评估。

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PURPOSE: The aim of this study was to evaluate the long-term functional outcome in children with anorectal malformations and to correlate them with the type of malformation METHODS: The medical files of children treated for anorectal malformation from 1996 to 2007 were retrospectively reviewed. Data collected included age, gender, type of ARM, associated malformations, type of initial approach, definitive operation, and post-operative management. A multivariate scoring method for fecal continence has been used for evaluation of functional outcome score. RESULTS: Thirty one patients were initially included in the study. Twenty eight of them were evaluated for long-term functional outcomes (mean age 7.25 +/- 0.52 years, males 7.96 +/- 0.68 years, female 6.46 +/- 0.76 years). The mean functional outcome score of all patients was significantly lower compared to that of sex- and age-matched healthy controls (13.92 +/- 0.59 to 19.76 +/- 0.08, p < 0.0001). No statistical significance was found between the mean functional outcome and the patients' age, gender, or associated anomaly. CONCLUSION: The functional outcome score can be considered as an index of management of defecation disorders in children with anorectal malformation. The long-term functional outcome in children with anorectal malformations is significantly lower than normal controls. Regular follow-ups are required in order to offer them a socially accepted day life.
机译：目的：本研究旨在评估肛门直肠畸形患儿的长期功能结局，并将其与畸形类型相关联。方法：回顾性分析1996年至2007年接受肛肠畸形患儿的医疗档案。收集的数据包括年龄，性别，ARM类型，相关的畸形，初始方法类型，确定的手术和术后管理。粪便的多元评分方法已用于评估功能结局评分。结果：31名患者最初被纳入研究。对其中的28例进行了长期功能预后评估（平均年龄7.25 +/- 0.52岁，男性7.96 +/- 0.68岁，女性6.46 +/- 0.76岁）。与性别和年龄相匹配的健康对照组相比，所有患者的平均功能结局评分均显着降低（13.92 +/- 0.59至19.76 +/- 0.08，p <0.0001）。在平均功能结局与患者的年龄，性别或相关异常之间未发现统计学意义。结论：功能结局评分可作为肛肠畸形患儿排便障碍管理指标。肛肠畸形患儿的长期功能结局明显低于正常对照组。为了给他们提供被社会接受的日常生活，需要定期的跟进。

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