数字化排粪造影在顽固性便秘患者中的临床应用

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.

Numerial defecography for 60 cases with obstinate constipation

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.