摘要
报道52例会阴下降综合征(DPS),均行排粪造影结合盆腔造影及肛管测压,并设对照组。结果表明排便中DPS会阴下降达3.58cm,以耻骨直肠肌压迹中点测量会阴位置变化与盆底腹膜一致,是可取的。DPS的肛管压力显著降低。81%的DPS伴直肠或肛管内脱垂,积极处理内脱垂,避免用力排便,打断其与DPS间恶性循环,是DPS防治的关键,治疗有效率为80.8%。
52 patients with descending perineum syndrome (DPS) were studied by defeco-pelvico- graphy and ano-manometry. During defecation the perineum of the DPS pa-tient declined 3.58cm, the level of the pressing mark of puborectalis was similar to the level of the pelvic floor peritoneal cul-de -sac, showing that this method of measuring the perineum was reliable. The anal pressure of the DPS patients reduced significantly. 81% of the DPS pa-tients had internal rectal or anal prolapse. The key to the treatment is the breaking of the vicious cycle caused by straining defecation and anal internal prolapse in DSP patients.
出处
《结直肠肛门外科》
1995年第3期1-3,共3页
Journal of Colorectal & Anal Surgery
关键词
会阴下降综合征
排粪造影
肛管测压
治疗
直肠内脱垂
Descending perineum syndrome
defecography
anomanometry
internal rectal prolapse
treatment
