目的:马龙顺行失禁灌肠(MACE)为患者提供了改善尿失禁的途径,干净的大便,并在维持肠道功能方面获得独立性。Mini-ACE®是一种低调的气球按钮,用于促进顺行灌肠剂的给药。我们试图描述我们的实践和短期结果。
方法:这项工作是对2019年4月至2021年3月的Mini-ACE®阑尾造口术按钮的回顾性审查,随访结束于2021年10月。患者人口统计学,结直肠诊断,并对结果进行了检查。
结果:43例患者接受Mini-ACE®置入术;22例(51%)为男性。插入Mini-ACE®的平均年龄为9.2岁(范围3-20岁)。最常见的诊断是19(44%)的功能性便秘,肛门直肠畸形15例(35%),和先天性巨结肠病3例(7%),脊髓差异3(7%)。术中无并发症,但5(12%)需要切除脱垂。中位住院时间为两天(IQR1,4)。患者在MACE产生4.5[3,7]个月时实现了自我导管插入,38名儿童(88%)报告在保持粪便清洁方面取得了出色的成功。
结论:Mini-ACE®似乎是顺行失禁灌肠的一种安全且低调的选择。需要进一步研究直接比较不同MACE设备之间的并发症和患者满意度以及整体生活质量。
方法:四级。
OBJECTIVE: Malone antegrade continence enemas (MACE) provide a conduit in which the patient can achieve improved continence, be clean of stool, and gain independence in maintaining bowel function. The Mini-ACE® is a low-profile balloon button that is used to facilitate the administration of antegrade enemas. We sought to describe our practice and short-term outcomes.
METHODS: This work is a retrospective
review of the Mini-ACE® appendicostomy button from April 2019 to March 2021, with follow-up concluding in October 2021. Patient demographics, colorectal diagnoses, and outcomes were examined.
RESULTS: Forty-three patients underwent Mini-ACE® placement; 22 (51%) were male. The average age at Mini-ACE® insertion was 9.2 years (range 3-20 years). The most common diagnoses were functional constipation in 19 (44%), anorectal malformation in 15 (35%), and Hirschsprung disease in 3 (7%), spinal differences 3 (7%). There were no intra-operative complications, but 5 (12%) required prolapse resection. The median length of stay was two days (IQR 1, 4). Patients achieved self-catheterization at 4.5 [3,7] months from MACE creation, with 38 children (88%) reporting excellent success in remaining clean of stool.
CONCLUSIONS: The Mini-ACE® appears to be a safe and low-profile option for antegrade continence enema access. Further research is needed directly comparing complications and patient satisfaction rates between different MACE devices and overall quality of life.
METHODS: Level IV.