中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
12期
1795-1797
,共3页
便秘%充气造影术%胃肠通过试验%体层摄影术%X线计算机
便祕%充氣造影術%胃腸通過試驗%體層攝影術%X線計算機
편비%충기조영술%위장통과시험%체층섭영술%X선계산궤
Constipation%Pneumoradiography%Gastrointestinal transit%Tomography%X-ray computed
目的 探讨中老年女性便秘的病因及检查方法,评价影像学对便秘诊断的临床应用价值.方法 对98例临床诊断便秘的中老年女性患者先作结肠传输试验,而后行气钡双重造影检查,考虑出口梗阻的患者再作排粪造影检查或仿真直肠排粪造影检查,根据卢任华教授的测量指标及诊断标准作出诊断,进行回顾性分析.结果 行钡灌肠检查者8例,发现异常者6例；16例直接行排粪造影检查,14例异常.行结肠传输试验者74例,正常者6例,异常68例,真性慢传输16例,假性慢传输20例,出口梗阻52例,其中选择20例志愿者进行混悬硫酸钡及仿真直肠排粪造影检查.结论 气钡双重造影可以发现结肠的器质性病变及发育异常；结肠传输试验、排粪造影及仿真直肠排粪造影是一种简单无创的、最佳的检查便秘病因的方法.
目的 探討中老年女性便祕的病因及檢查方法,評價影像學對便祕診斷的臨床應用價值.方法 對98例臨床診斷便祕的中老年女性患者先作結腸傳輸試驗,而後行氣鋇雙重造影檢查,攷慮齣口梗阻的患者再作排糞造影檢查或倣真直腸排糞造影檢查,根據盧任華教授的測量指標及診斷標準作齣診斷,進行迴顧性分析.結果 行鋇灌腸檢查者8例,髮現異常者6例；16例直接行排糞造影檢查,14例異常.行結腸傳輸試驗者74例,正常者6例,異常68例,真性慢傳輸16例,假性慢傳輸20例,齣口梗阻52例,其中選擇20例誌願者進行混懸硫痠鋇及倣真直腸排糞造影檢查.結論 氣鋇雙重造影可以髮現結腸的器質性病變及髮育異常；結腸傳輸試驗、排糞造影及倣真直腸排糞造影是一種簡單無創的、最佳的檢查便祕病因的方法.
목적 탐토중노년녀성편비적병인급검사방법,평개영상학대편비진단적림상응용개치.방법 대98례림상진단편비적중노년녀성환자선작결장전수시험,이후행기패쌍중조영검사,고필출구경조적환자재작배분조영검사혹방진직장배분조영검사,근거로임화교수적측량지표급진단표준작출진단,진행회고성분석.결과 행패관장검사자8례,발현이상자6례；16례직접행배분조영검사,14례이상.행결장전수시험자74례,정상자6례,이상68례,진성만전수16례,가성만전수20례,출구경조52례,기중선택20례지원자진행혼현류산패급방진직장배분조영검사.결론 기패쌍중조영가이발현결장적기질성병변급발육이상；결장전수시험、배분조영급방진직장배분조영시일충간단무창적、최가적검사편비병인적방법.
Objective To investigate the pathogen and inspection methods of the middle-aged women with constipation and evaluate the accuracy and clinical application of imaging to constipation.Methods First colonic transit test were used to 98 cases of middle-aged women who were diagnosed constipation by doctors,then air-barium double contrast examination were applied.Defecation radiography or simulation rectum defecography were used to those who were diagnosed as outlet obstruction.According to the measure target and diagnostic criteria of professor LU,the results were studied.Results 6 cases were abnormal within 8 cases who were inspected by barium enema.14cases were abnormal within 16 cases who were inspected by defecation radiography.Colonic transit test were used to 74 cases and only 6 cases were normal.16 cases were true slow transmission and 20 cases were false slow transmission.52 cases were outlet obstruction.20 volunteers were inspected by suspension barium sulfate and simulation rectum defecography.Conclusions Air-bariun double contrast examination could discover the organic disease and abnormal of rectum.colonic transit test,defecation radiography and simulation rectum defecography were simply and perfect methods to discover the pathogen of constipation.
