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目的:评价Malone顺性灌肠治疗神经性大便失禁的临床疗效。方法:1998年10月～1999年12月间对14例伴有大便失禁的脊髓拴系综合征患者(4～13岁)施行Malone手术,术后间断经阑尾造瘘口插管灌肠。对手术效果及肛门功能分别进行量化评分。结果:14例随访时间6个月～1年,2例造瘘口闭塞。余12例手术效果评分为21.4±1.3;肛门功能临床主观评分5郾05±0郾76,较术前(1郾23±0.64)明显增加(P<0郾01),其中优9例,良3例,差2例。结论:Malone顺性灌肠是治疗神经性大便失禁的有效方法,可明显提高患儿的生活质量。
Objective: To evaluate the clinical efficacy of Malone’s enema in treating fecal incontinence. METHODS: From October 1998 to December 1999, 14 patients with tethered cord syndrome (aged 4 to 13 years) with fecal incontinence underwent Malone surgery. The postoperative anastomosis of the appendix was interrupted by enema. The surgical results and anal function were quantified. Results: Fourteen patients were followed up for 6 months to 1 year and 2 patients were occluded. The remaining 12 cases had a surgical score of 21.4 ± 1.3. The clinical subjective score of anus was 5 郾 05 ± 0 郾 76, which was significantly higher than that of the preoperative (1 郾 23 ± 0.64) (P <0 郾 01) 3 cases, poor in 2 cases. Conclusion: Malone Shun enema is an effective treatment for neurological incontinence, can significantly improve children’s quality of life.