排粪造影X线测量在功能性便秘诊断中的应用价值

Application of X-ray measurement value of defecography in diagnosis of functional constipation

目的探讨排粪造影X线测量在功能性便秘病因诊断中的应用价值。方法对35例出现临床症状的功能性便秘患者,进行排粪造影检查,显示直肠病变程度和并发症情况,进行图像采集和后处理,分别测量肛直角(ARA)、肛上距(DUAC)、直肠前突深度、乙耻距(DSPC)、骶直距(DSR)。结果 X线良好的显示了全部直肠功能性病变,本组35例患者中,直肠前突26例,直肠前壁黏膜脱垂18例,直肠内套叠3例,耻骨直肠肌肥厚2例,乙状结肠冗长1例。结论排粪造影X线测量在功能性便秘的病因诊断中具有较高的应用价值。

Objective To explore the application value of measurement of X-ray defecography in etiological diagnosis of functional constipation. Methods The 35 cases of rectal functional disease clinical symptoms of patients （31 female,4 male, age 22-74 years old, average 49.5 years old） were defecography, display the degree of rectal lesion and complications, image acquisition and process- ing, measurement of anorectal angle （ARA）, anus distance （DUAC）, rectocele depth, B shame from （DSPC）, sacral straight distance （DSR）. Results X-ray well showed all the rectal function lesion, the rectum in 35 cases of protrusion was 26 cases, anterior rectal mucosal prolapse was 18 cases, rectal intussusception was 3 cases, puborectalis muscle hypertrophy was 2 cases, redundant sigmoid colon was 1 cases. Conclusion Measurement application value of defecography X-ray was high in etiological diagnosis of functional constipation.