脊髄りゅう・髄膜りゅう患児の直腸こう門内圧所見および排便機能の検討

DOI Web Site 参考文献13件

書誌事項

タイトル別名
  • Anorectal Function in Children with Meningocele and Meningomyelocele.

この論文をさがす

抄録

Anorectal function was evaluated in 11 children who had meningocele, 12 meningomyelocele and 42 normal subjects using anorectal manometry. Of the 23 studied patients, 13 were neonates and 7 were infants under 1 year of age at the time of initial evaluation. All of the subjects who had patulous anal canal had problems with defecation. In all, 10 of the 23 patients studied were reevaluated as they grew older. The follow-up period for these patients was 5.25 year on average. A linear relationship existed between the volume of rectal distension (V) and the time of inhibition of rhythmic activity of the internal anal sphincter (T) in the rectosphincteric reflex, which is described by the positive linear regressiion equation as T (sec)=1.17V(ml)+0.88 (r=0.81, p<0.01) in normal neonates (n=7) and as T=0.01V+3.60 (r=0.41, p<0.01) in normal infants (n=12). Patients with a slope coefficient greater than 0.30 see/ml(hyperrectosphincteric reflex) in normal infancy tended to have poor bowel function when they grew older. These findings indicate that early and careful treatment is necessary to improve the bowel function of patients who have hyperrectosphincteric reflex in infancy.

収録刊行物

参考文献 (13)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ