CAJ | 학술논문

目的：评价不同影像学诊断方法在顽固性便秘临床诊断中的应用价值。方法选择排粪造影、盆底四重造影、结肠运输试验、脾曲综合征专项检查4种方法，并进行比较。结果排粪造影诊断顽固性便秘的阳性率达43.37%，而盆底四重造影对盆底疝的诊断有意义，结肠运输试验对顽固性便秘而无便意者比较适宜，脾曲综合征专项检查是对结肠运输试验的补充和细化。结论根据患者不同的临床症状，有目的地选择不同影像学检查方法，特别对无便意者，具有鉴别诊断意义。
목적：평개불동영상학진단방법재완고성편비림상진단중적응용개치。방법선택배분조영、분저사중조영、결장운수시험、비곡종합정전항검사4충방법，병진행비교。결과배분조영진단완고성편비적양성솔체43.37%，이분저사중조영대분저산적진단유의의，결장운수시험대완고성편비이무편의자비교괄의，비곡종합정전항검사시대결장운수시험적보충화세화。결론근거환자불동적림상증상，유목적지선택불동영상학검사방법，특별대무편의자，구유감별진단의의。
Objective To evaluate the value of different imaging methods in the diagnosis of intractable constipation. Methods Defecography, four-contrast defecography, colon transport test and splenic flexure syndrome special exam were used in the diagnosis. The imagings were compared. Results The positive rate of defecography for intractable constipation was 43.37%; four-contrast defecography for pelvic floor hernia was meaningful; colon transport test for intractable constipation, especially for the patients who did not feel the need to have bowel movement was appropriate; splenic flexure syndrome special exam was a complementary method for colon transport test. Conclusion The imaging method should be selected according to different syndrome, especially for the patients who do not feel the need to have bowel movement.