{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T21:30:57Z","timestamp":1648675857992},"reference-count":26,"publisher":"Akademiai Kiado Zrt.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2012,10,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A P\u00e9csi Tudom\u00e1nyegyetemen kb. 15 \u00e9ve vezett\u00e9k be a funkcion\u00e1lis proktol\u00f3giai vizsg\u00e1latokat, \u00e9s alak\u00edtott\u00e1k meg a Medencefen\u00e9k Multidiszciplin\u00e1ris Csoportot, mely t\u00f6bb \u00e9v sz\u00fcnetel\u00e9s ut\u00e1n m\u00e1sf\u00e9l \u00e9ve \u00fajraalakult. Ennek t\u00e1rgyk\u00f6r\u00e9ben a szerz\u0151k els\u0151sorban a sz\u00e9kletinkontinencia \u00e9s a kimeneti obstructi\u00f3s sz\u00e9kreked\u00e9s gy\u00f3gy\u00edt\u00e1s\u00e1val kapcsolatos tapasztalataikr\u00f3l sz\u00e1molnak be. <jats:italic>Beteganyag:<\/jats:italic> Az elm\u00falt h\u00e1rom \u00e9vben inkontinencia t\u00e1rgyk\u00f6r\u00e9ben seb\u00e9szi kezel\u00e9sre 9 beteg ker\u00fclt. Az elm\u00falt m\u00e1sf\u00e9l \u00e9vben 31 olyan beteget kezelt\u00fcnk, akin\u00e9l constipatio miatt seb\u00e9szi kezel\u00e9s mer\u00fclt fel. R\u00e9szletes kivizsg\u00e1l\u00e1s ut\u00e1n 10 beteg ker\u00fclt m\u0171t\u00e9tre, a t\u00f6bbiek konzervat\u00edv kezel\u00e9sben r\u00e9szes\u00fcltek. H\u00e9t betegn\u00e9l perinealis rekonstrukci\u00f3 t\u00f6rt\u00e9nt h\u00e1l\u00f3be\u00fcltet\u00e9ssel. H\u00e1rom betegn\u00e9l laparoscopos anterior recto- \u00e9s levatoropexi\u00e1t v\u00e9gezt\u00fcnk. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Az inkontinencia miatt oper\u00e1lt betegek 78%-a teljes kontinenci\u00e1r\u00f3l sz\u00e1mol be, 88%-uk javul\u00e1sr\u00f3l. A kimeneti obstructi\u00f3s sz\u00e9kreked\u00e9sben szenved\u0151 betegeink panaszainak objektiviz\u00e1l\u00e1s\u00e1ra egy \u00faj funkcion\u00e1lis pontrendszert alkottunk. A maxim\u00e1lisan 20 pontos score-t a m\u0171t\u00e9t el\u0151tt \u00e9s ut\u00e1n kik\u00e9rdezve a 7 perinealis rekonstrukci\u00f3n \u00e1tesett beteg\u00fcnkn\u00e9l preoperat\u00edve 14 \u00b1 2,83, posztoperat\u00edve 5,4 \u00b1 4,62 pontot tal\u00e1ltunk. A k\u00fcl\u00f6nbs\u00e9g szignifik\u00e1ns (<jats:italic>p<\/jats:italic> = 0,0075). <jats:italic>Konkl\u00fazi\u00f3:<\/jats:italic> A funkcion\u00e1lis proktol\u00f3giai betegek szak\u00e9rtelmet ig\u00e9nyelnek az anamnaesis felv\u00e9tel\u00e9t\u0151l kezdve a speci\u00e1lis m\u0171szeres vizsg\u00e1latokon kereszt\u00fcl a kezel\u00e9sig. A betegek t\u00falnyom\u00f3 r\u00e9sze kell\u0151en profit\u00e1l a konzervat\u00edv kezel\u00e9sb\u0151l. A sikeres seb\u00e9szi kezel\u00e9s fontos el\u0151felt\u00e9tele a megfelel\u0151 betegszelekci\u00f3. T\u00fcneti pontrendszerek alkalmaz\u00e1s\u00e1val, megfelel\u0151 betegv\u00e1laszt\u00e1ssal j\u00f3 eredm\u00e9nyek \u00e9rhet\u0151k el.<\/jats:p>","DOI":"10.1556\/maseb.65.2012.5.7","type":"journal-article","created":{"date-parts":[[2012,10,20]],"date-time":"2012-10-20T01:00:50Z","timestamp":1350694850000},"page":"370-379","source":"Crossref","is-referenced-by-count":0,"title":["Funkcion\u00e1lis proktol\u00f3gia a P\u00e9csi Tudom\u00e1nyegyetemen"],"prefix":"10.1556","volume":"65","author":[{"given":"Katalin","family":"Kalm\u00e1r","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Klinikai K\u00f6zpont, P\u00e9csi Tudom\u00e1nyegyetem, 7623, P\u00e9cs, R\u00e1k\u00f3czi u. 2."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3zsef","family":"Baracs","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Klinikai K\u00f6zpont, P\u00e9csi Tudom\u00e1nyegyetem, 7623, P\u00e9cs, R\u00e1k\u00f3czi u. 2."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Ill\u00e9s","sequence":"additional","affiliation":[{"name":"2 I. sz. 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