遠隔成績の動的観察よりみた鎖肛の予後

概要

論文の詳細を見る
Post-operative function after surgical treatment of ano-rectal malformation was evaluated in 46 cases. The following conclusions were made by follow up studies in 32 cases. 1) Answers to our questionnaire were received in all cases. 2) Severe associate anomalies and infection especially pneumonia were the main cause of death in the follow-up period. 3) Immediate postoperative results at discharge were poor in high type cases while almost normal in low type cases. 4) Our previous long-term follow up data were compared with the immediate postoperative results at discharge, revealing improvements in most cases but no improvements were noted in several cases. 5) Present follow up study indicated general tendency for gradual improvement in most cases but unsatisfactory results were still remaining in some cases. 6) Cases with anal mucosal prolapse proved to show other unsatisfactory signs as well. 7) In cases with mental retardation, no ano-rectal functional improvement was found. For these children, an approach for mental disorders should be considered before evaluation of the surgical result.
日本小児外科学会の論文
1982-06-20