排便肛管区域高压力与直肠前突形成的相关性分析

Correlation Analysis between High Pressure of Anal Canal during Defecation and Formation of Rectocele

目的:探讨排便肛管区域高压力与直肠前突形成相关性。方法:选取60例符合直肠前突选择标准的患者作为病例组,60例符合正常人选择标准的人群作为对照组,分别检测两组人群的肛门直肠压力,统计并分析数据。结果:病例组肛管排便舒张压显著高于对照组(P<0.01),肛管静息压高于对照组(P<0.05),病例组动作相关性呈正相关,两组的肛管最大收缩压、直肠静息压、直肠收缩压差异无统计学意义(P>0.05)。结论:肛管排便舒张压、肛管静息压与直肠前突的形成是密切相关的。直肠前突形成是由于排便时肛管区域压力增高,使粪便不能排出,向前冲击直肠前壁而形成。

Objective:To explore the correlation between the high pressure of anal canal during defecation and the formation of rectocele.Methods:60 patients with the criteria of rectocele selection were selected as the case group,and 60 normal persons were selected as the control group,the anorectal pressure of two groups were measured,and the data were recorded and analyzed.Results:The anal canal defecation diastolic pressure of the case group was significantly higher than the control group(P<0.01),and the anal canal resting pressure was higher than the control group(P<0.05),further more,the case group action correlation was positively correlated.however,the maximum systolic pressure,the anal rectal resting pressure and the rectal systolic pressure of two groups were showed without significant difference(P>0.05).Conclusions:The anal canal defecation diastolic pressure,the anal canal resting pressure and the formation of rectocele are closely related.The formation of rectocele is due to the high pressure of anal during defecation,so that feces can not be excreted,Which pushes the anterion wall of the return.