期刊文献+

肛管直肠压力测定在肛门功能评估中的价值及临床应用 被引量:33

Clinical application of anorectal manometry in anal function assessment
下载PDF
导出
摘要 目的观察肛管直肠压力测定在肛门功能评估中的临床应用价值。方法以术后橡皮筋脱落时间为分组依据将62例高位肛瘘病例分为3组,试验1组<10 d,试验2组10~16 d,试验3组>16 d。分别观察3组手术前后的肛管直肠压力测定(静息压、收缩压、排便压改变率)、痊愈后wexner评分。结果试验1组wexner评分与试验2组和试验3组比较均有显著性差异(P均<0.05)。痊愈后wexner评分与肛管直肠压力测定静息压下降率的Pearson的相关系数为0.579(P=0.00)。结论在高位肛瘘挂线术后的肛门功能评估中,肛管直肠压力测定和wexner评分具有一致性,且肛管直肠压力测定(静息压、收缩压、排便压改变率)较wexner评分评估更加精确。 Objective It is to observe the clinical application of anorectal manometry in anal function assessment. Methods According to the rubber band off time, sixty-two examples diagnosed as high anal fistula were divided into 3 groups: the rubber band off time 〈 10 days in Group A, 10 -16 days in Group B and 〉 16 days in Group C. The indicators of anorectal manometry before and after surgery and wexner score were observed in all groups. Results The wexner score of Group A had significant difference compared with Group B and Group C (P 〈 0.05). Recovery wexner score and anorectal manometry rest pressure drop rate of the Pearson's correlation coefficient was 0,579 (P = 0. 00). Conclusion In the anal function assessment of the cutting seton therapy in high anal fistula, anorectal manometry and wexner score with consistency, and anorectal manometry evaluation score is more accurate than wexner.
出处 《现代中西医结合杂志》 CAS 2012年第18期1946-1947,共2页 Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词 肛管直肠压力测定 高位肛瘘 肛门功能评估 anorectal manometry high anal fistula anal function assessment
  • 相关文献

参考文献5

  • 1Garcia-Aguilar J, Belmonte C,Wong WD,et al. Anal fistula surger- y:factors associated with recurrence and incontinence[ J]. Dis Co- lon Rec-tum, 1996,39 ( 7 ) :723 - 729.
  • 2Cherry DA,Rothenberger DA. Pelvic floor physiology[J]. Surg Clin North Am,1988,68(12) :1217 -1220.
  • 3Richelle JF. Investigation of anorectal function [ J]. Br J Surg, 1988,75(1) :53 -55.
  • 4马木提江.阿巴拜克热,温浩,黄宏国,楚慧.肛瘘手术前后肛肠测压的改变[J].中国现代医学杂志,2010,20(11):1729-1733. 被引量:8
  • 5丁义江,丁曙晴,孙明明,王静,倪敏.肛门功能评估在高位复杂性肛瘘治疗中的价值[J].临床外科杂志,2007,15(2):92-94. 被引量:38

二级参考文献26

  • 1张荣在,林大鹏,余智涛.直肠肛门瘘手术前后肛肠的动力学改变[J].中国胃肠外科杂志,1999,2(4):217-219. 被引量:16
  • 2DAVID. Pelvic floor physiology[J]. Surg Clin North Am, 1988, 68 (12): 1217-1220.
  • 3RICHELLE JF. Investigation of anorectal function [J]. Br J Surgo 1988, 75(1): 53-55.
  • 4DUTHIE HL, BENNETT RS. The relation of sensation in anal canal to functional anal sphincter:a possible factor in anal continence [J], Gut, 1963, 4(2): 179-181.
  • 5MEUNIER PD. Is resting pressure primarily due to myogenic tone of the internal anal sphincter [J]. Am J Physiol, 1987, 18 (3): 253-255.
  • 6GARCIA-AGUILAR J, BELMONTE C, WONG WD, et al. Anal fistula surgery: factors associated with recurrence and incontinence [J]. Dis Colon Recutum, 1996, 39(7): 723-729.
  • 7BECK DE, WEXNER SD. Fundemental of anorectal surgery [M]. London: W.B. Saunders Company, 1998: 168-169.
  • 8WHITEFORD MH, KILLKENNY J, HYNAM N, et al. Practice parameters for the treatment of periananal abscees and fistula-in-ano (Revised) [J]. Dis Colon Rectum, 2005, 48(12): 1337-1342.
  • 9CHANG SC, LIN JK. Change in anal continence after surgery for intersphincteral anal fistula: a functional and manometric study[J]. Int J Clorectal Dis, 2003, 18(1): 111-115.
  • 10BORDEIANOU L, LEE KY, ROCKWOOD T, et al. Anal resting pressure at manometry correlate with the fecal incontinence severity index and with presence of sphincter defect on ultrasound [J]. Dis Colon Rectum, 2008, 51(10): 1010-1014.

共引文献44

同被引文献253

引证文献33

二级引证文献230

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部