UDK: 616-053.32-083.98.-037

COMPARATIVE ASSESSMENT OF SPINCTER MUSCLE COMPLEX IN CHILDREN AFTER SURGICALCORRECTION OF ANORECTAL MALFORMATION

I.N. Khvorostov, V.N. Shramko, D.A. Andreev, O.I. Verbin

ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации, кафедра детской хирургии

Abstract

A comprehensive study of the state of the spincter muscle complex in children after surgical correction of anorectal malformations was carried out,including MRI of the structure of the spincter muscle complex,fecal continence on the Rintala scale, manometric studies of the anal function.The poor development of the spincter muscle complexwas characterized by a decrease (p < 0,05) of the average values of the relative width of the puborectal muscle (PRWR) to 0,14 ± 0,03, for the relative width of the external anal sphincter (EASWR) to 0,12 ± 0,02, which turned out to be 2,4 times lower than patients with excellent and good results. Values of PRWR <0,18 and EASWR <0,15 in 63 % of cases corresponded to an unsatisfactory result on the Rintala scale and was accompanied by fecal incontinence. A good function of anal function was observed in 58 % of patients with PRWR >0,18 and EASWR >0,15.

Keywords

anorectal malformations, MRT, Rintala scale, manometry.

Contacts

Хворостов Игорь Николаевич – д. м. н., заведующий кафедрой детской хирургии, Волгоградский государственный медицинский университет, e-mail: ikhvorostov@gmail.com