直肠脱垂的X线排便造影分型及其临床应用价值

X-ray defecography classification of rectal prolapse and its value of clinical application

目的探讨直肠脱垂的X线排便造影分型及其临床应用价值。方法回顾性分析168例直肠脱垂患者的X线排便造影的影像学表现及其X线分型。结果 168例直肠脱垂中,直肠内黏膜脱垂98例、直肠内套叠40例、肛管内直肠黏膜脱垂6例、肛管内直肠套叠22例、外脱垂型2例,并且直肠脱垂常与功能性出口梗阻疾病同时并存。结论直肠脱垂的X线排便造影分型有利于本病的明确诊断,为临床治疗提供可靠依据。

Objective To discuss the X-ray defecography classification of rectal prolapse and its value of clinical applica- tion. Methods The defecography imaging of 168 cases with rectal prolapse and X-ray classification were restrospectively reviewed. Results Among 168 cases of rectal prolapse, there were 98 cases with rectal mucosal prolapse, 40 cases with inter- nal rectal intussusception, 6 cases with anal canal mucosal prolapse, 22 cases with anal canal intussusception, 2 cases with external rectal prolapse, and rectal prolapse often associated with functional outlet obstruction. Conclusion The X-ray de- fecography typing of rectal prolapse can be conductive to disease diagnosis and provide reliable basis for clinical treatment.