中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
z2期
9-11
,共3页
排便X线摄影术%顽固性便秘%相关疾病
排便X線攝影術%頑固性便祕%相關疾病
배편X선섭영술%완고성편비%상관질병
Defecography%Obstinate constipation%Balative sickness
目的 探讨数字化排粪造影在顽固性便秘患者的临床应用.方法 回顾性分析60例顽固性便秘患者进行的数字化排粪造影检查资料,通过测量肛直角、肛上距、乙耻距和小耻距、肛管长度、肛直间距、骶骨及骶尾曲率等指标,得出相关疾病的诊断.结果 25例次(41.7%)为会阴下降,16例次(26.7%)为直肠前壁黏膜脱垂,37例次(61.7%)为直肠内套叠,12例次(20%)为直肠外脱垂,47例次(78.3%)为直肠膨出或称直肠前突,13例次(21.6%)为盆底痉挛综合征,39例次(65%)为耻骨直肠肌肥厚症,11例次(18.3%)为盆底疝,12例次(20%)为骶直分离,10例次(16.7%)为内括约肌失迟缓症.结论 数字化排粪造影对顽固性便秘患者相关疾病的阳性检出率达10种之多,可为临床提供有价值的诊断参考.
目的 探討數字化排糞造影在頑固性便祕患者的臨床應用.方法 迴顧性分析60例頑固性便祕患者進行的數字化排糞造影檢查資料,通過測量肛直角、肛上距、乙恥距和小恥距、肛管長度、肛直間距、骶骨及骶尾麯率等指標,得齣相關疾病的診斷.結果 25例次(41.7%)為會陰下降,16例次(26.7%)為直腸前壁黏膜脫垂,37例次(61.7%)為直腸內套疊,12例次(20%)為直腸外脫垂,47例次(78.3%)為直腸膨齣或稱直腸前突,13例次(21.6%)為盆底痙攣綜閤徵,39例次(65%)為恥骨直腸肌肥厚癥,11例次(18.3%)為盆底疝,12例次(20%)為骶直分離,10例次(16.7%)為內括約肌失遲緩癥.結論 數字化排糞造影對頑固性便祕患者相關疾病的暘性檢齣率達10種之多,可為臨床提供有價值的診斷參攷.
목적 탐토수자화배분조영재완고성편비환자적림상응용.방법 회고성분석60례완고성편비환자진행적수자화배분조영검사자료,통과측량항직각、항상거、을치거화소치거、항관장도、항직간거、저골급저미곡솔등지표,득출상관질병적진단.결과 25례차(41.7%)위회음하강,16례차(26.7%)위직장전벽점막탈수,37례차(61.7%)위직장내투첩,12례차(20%)위직장외탈수,47례차(78.3%)위직장팽출혹칭직장전돌,13례차(21.6%)위분저경련종합정,39례차(65%)위치골직장기비후증,11례차(18.3%)위분저산,12례차(20%)위저직분리,10례차(16.7%)위내괄약기실지완증.결론 수자화배분조영대완고성편비환자상관질병적양성검출솔체10충지다,가위림상제공유개치적진단삼고.
Objective To discuss the numerial defecography for cases with obstinate constipation.Methods A retrospective study of the data of 60 cases with obstinate constipation,was carried on the radiodiagnosis through the ralative measurement. Results 25 cases with the perineum descending,16 cases with the anterior mucosal prolapse,37 cases with the internal rectal intussusception,12 cases with the external rectal prolapse,47 cases with the rectocele,13 cases with the spastic pelvic floor syndrome,39 cases with the puborectalis muscle hypertrophy,11 cases with the enterocele,12 cases with the sacrum-rectal separate,and 10 cases with the achalasia of anal muscle of internal enlarge. Conclusion It was important that numerial defecography in the diagnosis of obstinate constipation.
