便秘的综合X线排粪造影

Comprehensive X-ray Defecography in Evaluating Constipation

目的:探讨综合X线排粪造影检查对排便功能障碍(便秘)者的诊断价值。方法:137例便秘患者均完成结肠运输试验、逼囊试验和定量钡糊排粪造影或同步阴道造影(已婚女性)检查,并对检查结果进行分析。结果:便秘的原因是复杂的,结肠慢传输42例,功能性出口梗阻25例,逼囊试验不能逼出者87例。定量钡糊排粪造影或同步阴道造影显示大多数病例合并两种或两种以上异常。结论:便秘的X线综合排粪造影检查可以详细显示便秘相关病变,为临床治疗提供了可靠的依据。

Purpose： Objective to evaluate the diagnostic value of synthetic imaging examination methods for the constipation. Methods： One hundred and thirty - seven patients with defecated dysfunction who had undergone colonic transportable test, balloon expulsion test and digitalized - imaging technology in quantitative bariumpast defecography or/ and synchronistic vaginography（married women） examination were reviewed. Results： The cause of the constipation was complex. Due to colonic slow transition were in 42 cases, and functional outlet obstruction were found in 25 cases. The balloon expulsion failure were in 87 cases. The diagnostic results of synthetic imaging examination methods of the constipation were found frequently contemporary existence the composite diseases or the other complications. Conclusion： The synthetic imaging examination of the constipation provides a reliable diagnosis for clinical treatment.