Ashlyn E Whitlock, Lorena Rincon-Cruz, Lauren M. Mednick, Farokh R Demehri, Belinda H. Dickie, P. Nandivada
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引用次数: 0
摘要
背景:小儿直肠脱垂(RP)是一种罕见但负担沉重的疾病。我们试图描述我们的RP患者群体的精神行为健康障碍(MBHD)的历史,并比较他们的结果。方法:在一项单中心回顾性队列研究中,对2016-2021年所有接受RP手术评估的患者进行识别和回顾。结果:在确定的56例患者中,30例符合纳入标准,16例(53.3%)有记录的MBHD。MBHD患者明显更老(14.4 vs 9.4岁,p=0.027),便秘率也更高(15.94% vs 19.17%, p= 0.05)。干预前的医疗管理时间明显长于非MBHD组(216天vs 57天,p=0.046)。最终,更多MBHD患者接受了直肠脱垂手术干预(8.50%比2.14.2%,p =0.019)。结论:小儿直肠脱垂患者的MBHD发生率较高,尽管治疗间隔较长,但往往需要手术干预。
Rectal prolapse and mental health disorders in pediatric patients
Background: Pediatric rectal prolapse (RP) is a rare but burdensome disease. We sought to describe our RP patient population’s mental behavioral health disorder (MBHD) history and compare their outcomes. Methods: In a single center retrospective cohort study, all patients who underwent surgical evaluation of RP from 2016-2021 were identified and reviewed. Results: Of 56 patients identified, 30 met inclusion criteria, 16 (53.3%) had a documented MBHD. Those with MBHD were significantly older (14.4 vs 9.4 years, p=0.027), and had higher rates of constipation (15, 94% vs 19, 17%, p =0.05). They had significantly longer duration of medical management before intervention than those without MBHD (216 vs 57 days, p=0.046). Ultimately, more patients with MBHD underwent operative intervention for rectal prolapse (8, 50% vs 2, 14.2%, p =0.019). Conclusions: Pediatric patients with rectal prolapse have a high rate of MBHD and despite longer intervals of medical management, often require operative intervention.