annals 1-2.qxd - Centrum Zdrowia Dziecka
annals 1-2.qxd - Centrum Zdrowia Dziecka
annals 1-2.qxd - Centrum Zdrowia Dziecka
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27<br />
Table 5<br />
Clinical score and results of manometric studies in girls after PSARP and ASARP<br />
Group 1 Group 2 Statistical p-value<br />
after PSARP after ASARP test<br />
n=28 n=27<br />
Mean age SD (years) 13,96 ± 3,70 7,22 ± 2,43 t-Student < 0,00001<br />
Kelly score mean value SD 4,10 ± 2,06 5,07 ± 1,10 t-Student < 0,05<br />
Holschneider/Rintala 10,03 ± 3,27 11,48 ± 2,63 t-Student NS<br />
score mean value SD<br />
(p=0,08)<br />
Medium value SD (1,32 ± 0,72) (1,59 ± 0,57)<br />
(after transformation of scale) t-Student NS<br />
Kiesewetter/Chang* score 46% / 39%/ 14% 63% / 33% / 4%<br />
(p=0,1)<br />
%G / %P / %B<br />
Medium value SD (1,25 ± 0,80) (1,63 ± 0,56)<br />
(after transformation of scale)<br />
met. Pena**<br />
t-Student < 0,05<br />
%F / %P / %IN 46% / 33% / 21% 66% / 30% / 4%<br />
Constipation (2 and 3 deg.) (9) 32% (10) 37% Fisher NS<br />
(n) % pat.<br />
HPZ (mm) mean value SD 23,78 ± 8,07 27,77 ± 4,12 t-Student < 0,05<br />
MARP (cm H 2 O) mean value SD 48,92 ± 25,72 74,44 ± 26,21 t-Student < 0,001<br />
RSBD (ml) mean value SD 40,71 ± 27,07 53,70 ± 38,24 t-Student NS<br />
Positive RARR (n) % pac (3) 11% (26) 96% Fisher < 0,01<br />
Positive VASP ■ (n) % pac (14) 50% (26) 96% Fisher < 0,01<br />
*G, good continence; P, medium continence; B, bad continence (after author of scale); **F, full continence; P. partial continence; IN,<br />
incontinence (after author of scale); HPZ, high pressure zone; MARP, maximal anal resting pressure; RSBD, rectal sensation to balloon<br />
distension; RARR, recto-anal relaxation reflex; VASP, voluntary anal squeeze pressure; positive VASP ■ – pressure reaching the level of<br />
at least 2×MARP; (n), number of patients.<br />
Table 6<br />
Manometric studies in the age-matched controls<br />
Control group for PSARP<br />
Control group for ASARP<br />
n=10 n=10<br />
Mean age SD (years) 13.00 ± 1,33 7,50 ± 2,01<br />
HPZ (mm) mean value SD 31,20 ± 3,79 27,60 ± 4,19<br />
MARP (cm H 2 O) mean value SD 93,00 ± 10,59 78,0 ± 14,75<br />
RSBD (ml) mean value SD 20,00 ± 6,66 32,0 ± 7,88<br />
Positive RARR (n) % pat (10) 100% (10) 100%<br />
Positive VASP* (n) % pat (10) 100% (10) 100%<br />
HPZ, high pressure zone; MARP, maximal anal resting pressure; RSBD, rectal sensation to balloon distension; RARR, recto-anal<br />
relaxation reflex; VASP, voluntary anal squeeze pressure; Positive VASP* – pressure reaching the level of at least 2×MARP; (n), number<br />
of patients.