无肛畸形术后患儿心理障碍的临床分析

Clinical Analysis of Psychological Disorder in Children With Congenital Imporforate Anus Deformity After anoplasty operation

目的对无肛畸形患儿术后远期心理障碍的产生进行临床分析。方法46例无肛术后6年～8年的患儿与46名正常儿童进行对照,运用Achenbach小儿行为调查表,依据排便功能临床评分标准,分别比较其心理障碍的发生率。结果排便功能差的病例心理障碍发生率高于排便功能优、良者及对照组。观察组心理障碍发生率明显高于对照组。结论无肛术后患儿心理障碍发生率与排便功能有关。排便功能的改善是心理障碍发生的预防关键。

Objective To analyse the incidence of psychological disorder of long-term in children with congenital anorectal deformity.Methods The psychological disorder morbidity in46cases of congenital anorectal deformity(observation group)was analyzed by using clinical score criterion with Achenbach Child Behavior checklist (CBCL)following anoplasty,and was compared with normol children(control group).Results The incidence of psychological disorder in observa-tion subgroup with poor defecation was higher than that in observation subgroups with excellent,good defecation and control group.The incidence of psychological disorder in observation group was obviously high than that of control group.Conclusions The incidence of psychological disorder of children with anorectal deformity following anoplasty operation was related to the defecation func-tion.Improvement of defecation function is critical to prevent psychological disorder in children with congenital anorectal deformity after anoplasty.