Xie Chuanping,Yan Jiayu,Chen Yajun,et al.Risk factors for long-term bowel function outcomes after Soave procedure for Hirschsprung’s disease[J].Journal of Clinical Pediatric Surgery,,():426-429.[doi:10.3760/cma.j.cn101785-202304013-005]
Risk factors for long-term bowel function outcomes after Soave procedure for Hirschsprung’s disease
- Keywords:
- Hirschsprung’s Disease; Bowel Function; Risk Factors; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the long-term status of bowel function recovery for children with Hirschsprung’s disease (HD) after Soave procedure.Methods A total of 280 HD children (age≥4 years) were followed up by telephone.Based on Rintala questionnaire outcomes,they were divided into two groups of poor bowel function outcomes (Rintala score<12) and average or good bowel function outcomes (Rintala score ≥12).The risk factors of long-term bowel function outcomes were examined.Results During follow-ups,median score of Rintala questionnaire was 18(15,20).Among them,189 cases (189/280,67.5%) had normal bowel function outcomes,65 cases (65/280,23.2%) mild bowel dysfunction and 26 cases (26/280,9.3%) severe bowel dysfunction.Constipation was relatively rare after Soave,with only 5.71% (16/280) requiring a laxative to assist defecation.4.3% (12/280) of the patients had impaired social activities.Univariate analysis found that the type of HD and reoperation were risk factors for long-term poor bowel function after Soave with a statistically significant difference.Conclusions Soling is a major manifestation for long-term bowel function impairment.Short-segment HD and reoperation are the risk factors for poor bowel function outcomes after the Soave procedure.
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Memo
收稿日期:2023-04-04。
通讯作者:陈亚军,Email:chenyajunmd@aliyun.com