排粪造影对直肠前突的诊断价值

目的探讨排粪造影对直肠前突的诊断价值。方法对110例直肠前突患者进行排粪造影检查。女性89例,男性21例,年龄20-82岁,平均38.5岁。病史在1个半月-40年。主要临床症状:均有排便困难,排便时间明显延长,伴有肛门坠胀,有排便不尽感,粪便条变细,合并痔疮。排粪造影是给病人服泻剂清除积粪,造影剂为75%(W/V)硫酸钡混悬液400- 600ml,灌肠至降结肠远段,病人侧坐在排便装置上,在X线电视下作动态观察、摄片。结果通过对110例患者排粪造影检查, 发现有直肠前突75例、直肠黏膜脱垂25例、直肠内套叠16例、盆底痉挛综合征12例、耻骨直肠肌肥厚15例、会阴下降12例,以上症状多数由两种或两种以上同时出现。结论排粪造影对直肠前突的诊断具有重要价值。

Objective To comprehend the diagnostic value of the Defecografy. Methods 110 cases of the Rectocele were checked by the Defecografy 89 cases were female,21 cases were male, the age of the patients was from 20 to 82 years old, the average age was 38.5 years old. The diseases history the patients was from 1.5 months to 40 years. The main clinical symptoms were:the difficult defecation ,elongation of defecation anus distentin and non - complet defecation . dejecta turns small, & hemorrhoids. The defecografy was done by this way: 400 -600 ml mixed 75% suspesion of borium sulfaten was perfusedinto the patient' s rechum, the patient sat on the defecation instrument. the defacation process was observed dynamically and photographed. Results 110 patients were checked by the defecografy 75cases were rectocele . 25cases were rectal mucosa prolapse. 16cases were , the intussusception in the rectum. 12 cases the pelvioc flor spasm syndrome,65 cases were the puborectaiis thickening. 12 cases were the perinea! descent. Conclusion the defecografy played an important role in the diagnosis of the functional outlet obsruction constipation.