动态仿真直肠排粪造影对盆底痉挛综合征的诊断价值研究

Research the Diagnostic Value of Dynamic Simulation of Rectal Defecography for Spastic Pelvic Floor Syndrome

目的:探讨动态仿真直肠排粪造影在诊断盆底痉挛综合征中的应用价值。方法:回顾性选择2014年7月至2016年3月在我院确诊的38例盆底痉挛综合征患者为研究对象,随机分为研究组和对照组,采用全功能数字胃肠机测量患者静息状态下和力排状态下的肛直角,并计算肛直角差。采用t检验进行分析。结果:研究组患者9例合并直肠前突和粘膜脱垂,3例合并直肠前突和内脏下垂,1例合并直肠前突和结肠疝,对照组患者4例合并直肠前突和粘膜脱垂,1例合并直肠前突和内脏下垂,1例合并直肠前突和结肠疝,两组患者的合并症检出率比较,差异有统计学意义(P<0.05)。研究组患者的静息状态下肛直角(103.46±8.15)和力排状态下肛直角(93.12±7.51)明显低于对照组(117.62±11.37)、(135.14±12.13),且研究组的肛直角差(10.34±7.25)明显低于对照组(17.52±9.14),差异有统计学意义(P<0.01)。结论:动态仿真直肠排粪造影动态观察盆底形态的变化,可为盆底痉挛综合征诊断提供可靠依据。

Objective： To study the diagnostic value of dynamic simulation of rectal defecography for spastic pelvic floor syndrome. Methods： 38 patients with spastic pelvic floor syndrome were retrospectively selected as the research object in July 2014 to March2016 in our hospital. They were divided into the research group and control group. The resting state and force state of anal right angle were measured by fully functional digital gastrointestinal machine, and the anal right angle was calculated.The test was analyzed. Results：There were 9 patients with rectocele and anterior mucosal prolapse, 3 patients with rectocele and splanchnic prolapse, 1 patient with rectocele and sigmoid hernia in the research group. And there were 4 patients with rectocele and anterior mucosal prolapse, 1 patient with rectocele and splanchnic prolapse, 1 patient with rectocele and sigmoid hernia in the control group. The rate of complications of two groups was statistically significant（P〈0.05）. The resting state of anorectal angle（103.46 ±8.15） and force state of anorectal angle（93.12±7.51） in the research group were significantly lower than the control group（117.62±11.37）,（135.14±12.13）, and the anorectal angle（10.34±7.25） in the research group was significantly lower than the control group（17.52±9.14）, the difference was statistically significant（P〈0.01）, but there was no statistically significant difference between the control group A and control group B（P〉0.05）. Conclusion：Dynamic simulation of rectal defecography can observe of changes in the form of spastic pelvic floor syndrome,can provide reliable basis for diagnosis of spastic pelvic floor syndrome.