先天性巨结肠根治术后患儿的排便功能状况及其康复指导

Evaluation on Bowel Function and Recovery Gudidance in Children with Radical Surgery of Hirschsprung’s Disease

目的探讨先天性巨结肠(hirschsprung’s disease,HD)根治术后患儿排便功能及其康复指导。方法选取2007年5月某院随访的51例HD根治术后患儿,评价其排便功能状况。结果 51例患儿中排便功能异常者23例,占45.1%;其中经常性污便5例(9.8%)、大便失禁5例(9.8%)、偶尔污便6例(11.8%)、经常性腹泻4例(7.8%)、持续性便秘3例(5.9%)、出现过小肠结肠炎4例(7.8%)。结论先天性巨结肠根治术后患儿排便功能恢复不良,应加强康复指导。

Objective To comprehend the gastrointestinal function in children with radical surgery of hirschsprung disease（HD） and its recovery guidance.Methods Fifty-one children with radical surgery of HD in May 2007 were evaluated on the bowel function and recovery guidance.Results Twenty-three（45.1%） children were diagnosed with abnormal bowel function.Of the 23 children,regular sewage,fecal incontinence,occasional sewage,recurrent diarrhea,persistent constipation and enterocolitis accounted for 5（9.8%）,5（9.8%）,6（11.8%）,4（7.8%）,3（5.9%）and 4（7.8%）respectively.Conclusion Recovery guidance should be strengthened in children with radical surgery of HD with unfavorable recovery of bewel function.