动态直肠排粪造影在盆底痉挛综合征中的应用价值

目的 探讨动态直肠排粪造影在盆底痉挛综合征中的应用价值。方法 回顾性分析44例明确诊断为盆底痉挛综合征患者及22例排粪造影未见异常者的图像资料,测量静息状态下和力排时的肛直角并计算两组的肛直角差。统计学分析采用t检验。结果 21例盆底痉挛综合征患者合并有直肠前突、直肠粘膜脱垂等其他异常;盆底痉挛综合征组静息时和力排时肛直角及其差分别为(103.2±8.62)°、(92.8±7.38)°、(10.4±7.9)°;正常对照组分别为(117.4±12.7)°、(137.1±10.4)°、(19.7±12.4)°。两组肛直角差之间差异有统计学意义(P < 0.01)。结论 动态直肠排粪造影能为诊断盆底痉挛综合征提供可靠的依据。

Value of Dynamic Defecography in Patients with the Spastic Pelvic Floor Syndrome

Objective To evaluate the role of dynamic defecography in diagnosis patients with the Spastic Pelvic floor syndrome. Materials and methods:The images of defecography in 44 cases of anismus and 22 volunteers were retrospectively analyzed. Methods The anorectal angle (ARA) at quiescent and defecation, and the difference between them was calculated. T test was used in statistical analysis. Results 21 patients with spastic pelvic floor syndrome (SPFS) also suffered from rectocele, anterior mucosal prolapse or other disease. The ARA in patients group at quiescent,defecation and difference between them were (103.2±8.62)°, (92.8±7.38) ° and (10.4±7.9)° respectively, and those in normal control group were (117.4±12.7)°, (137.1±10.4) ° and (19.7±12.4)° respectively. There was significant difference in ARA between two groups (P < 0.01). Conclusion Dynamic defecography can provide reliable diagnostic basis for the Spastic Pelvic Floor syndrome.