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目的 探讨肛门直肠畸形术后患儿行为问题的状况。方法 随访 6 7例肛门直肠畸形术后患儿 ,在肛门功能临床评分基础上应用Achenbach’s儿童行为问题量表调查其行为问题状况。结果 6 7例肛门直肠畸形术后患儿中 ,13例 (19 4% )存在行为问题 ,显著高于对照组。 9例重度便失禁 (肛门功能临床评分 0～ 2分 )患儿中 ,6例存在行为问题 ,明显高于其他患儿。结论 严重便失禁影响肛门直肠畸形患儿行为问题 ,应进行长期随访 ,提高其生活质量
Objective To investigate the behavior of children with anorectal malformation after operation. Methods A total of 67 children with anorectal malformation were followed up and Achenbach’s Child Behavior Questionnaire was used to investigate the behavioral problems on the basis of anal function score. Results Among 67 cases of anorectal malformations, 13 cases (19.4%) had behavioral problems, which were significantly higher than those in the control group. Among 9 children with severe incontinence (anal function clinical score 0 ~ 2), 6 had behavioral problems, which were significantly higher than those in other children. Conclusion Severe incontinence affects the behavior problems of children with anorectal malformations, and should be followed up for a long time to improve their quality of life