排粪造影对功能性肛门直肠梗阻的诊断价值及临床应用(附156例分析)

The diagnostic value and clinical application of functional anorectal obstruction on defecography (analysis of 156 cases)

目的 :分析功能性肛门直肠梗阻的病因及X线表现。方法 :15 6例女性患者接受了检查。采用浓度为 180 %～2 0 0 %硫酸钡行常规排粪性造影 ,透视下动态观察并连续摄片。结果 :15 6例患者中 ,直肠前突 96例 ,会阴下降 10 7例 ,直肠内套叠 5 9例 ,盆底痉挛综合征 4 5例 ,盆底疝 7例 ,内括约肌失弛缓症 3例 ,正常 3例 ,直肠前突常合并会阴下降、直肠内套叠及盆底痉挛综合症。本组病例中 ,4 6例直肠前突、2 9例直肠内套叠、2例内括约肌失弛缓症经临床手术治疗 ,均获得了良好的效果。结论 :排粪性造影较传统的肛直肠部检查更敏感可靠。它能直接显示功能性出口梗阻的原因及发病程度 ,为临床治疗提供了可靠依据。

Objective:To analse the reason of funcefional anorectal obstruction and its X-ray features.Methods:156 female cases were examined by defecography with dynamic X-ray perspective and the film was made,The concentration of barium is 75%～100% W/V.Results:Among 156 cases,there were 96 with vectocele;(RC) 107 cases with perineum descending;(PD) 59 caseswith internal rectal infussusception;(IRI) 45 cases with spastic pelvicfloor syndrome;(SPFS) 7 cases with pelvic follr hernia;(PFH) 3 cases withinner-sphincter miss-function and 3 normal cases.Rc is often complicated with PD,IRI,SPFS.46 cases with RC,29 cases with IRI,and 2 cases with inner-sphincter miss-function were treated surgically,The curative effect is fin.Conclusion:Defecography is dependable simple and easy acceptable compared to with traditional exam.It can display the reason and the illness proceeding degree directly and provide reliable basis for clinical treatment.