先天性肛门直肠畸形患儿术后排尿异常相关因素分析

Risk factors of postoperative voiding dysfunction in children with congenital anorectal malformation

本研究分析2006年至2021年手术治疗的先天性肛门直肠畸形(ARM)患儿的临床资料,探讨ARM患儿术后排尿异常的相关因素。共纳入患儿60例,其中男51例、女9例,年龄4~15岁。其中,43例排尿正常,17例排尿异常。通过尿动力学检查随访发现中-高位临床分型(OR=6.732,95%CI:1.854~24.443)、多次手术(OR=3.712,95%CI:1.133~12.160)、合并脊柱畸形(OR=3.297,95%CI:1.029~10.566)和术后排便异常(OR=4.971,95%CI:1.387~17.816)是ARM术后排尿异常的危险因素(均P<0.05)。因此ARM术后患儿应进行尿动力学随访并给予早期干预治疗。

This study analyzed the clinical data of children with anorectal malformation(ARM)who underwent surgery from 2006 to 2021,and explored the related factors of postoperative voiding dysfunction(VD).A total of 60 children including 51 males and 9 females,aged 4-15 years,were enrolled.During follow up,normal voiding function were found in 43 cases,VD in 17 cases.It was found that middle to high clinical classification(OR=6.732,95%CI:1.854-24.443),multiple surgeries(OR=3.712,95%CI:1.133-12.160),associated spinal deformity(OR=3.297,95%CI:1.029-10.566)and abnormal postoperative defecation(OR=4.971,95%CI:1.387-17.816)were the risk factors of VD after ARM(all P<0.05).Urodynamic study and early intervention should be carried out in children with VD after ARM surgery.