高分辨率肛门直肠测压临床操作与分析指南(成人)

Clinical Guidelines for High⁃resolution Anorectal Manometry in Chinese Adults

肛门直肠测压是评估肛门直肠动力和感觉功能的重要技术。目前,我国已有数百家医疗机构相继开展高分辨率肛门直肠测压(HR-ARM)。为规范该技术的操作和应用,中华医学会消化病学分会及其胃肠动力学组、胃肠功能性疾病协作组、食管疾病协作组与中国健康促进基金会共同开展胃肠动力诊疗质控评估建设专科协作公益项目(GIMQCC),牵头制定本指南。本指南制定过程中邀请国内相关领域专家对国内外相关文献进行检索、梳理、讨论,并召开多次专家研讨会,确定指南内容。本指南涉及HR-ARM的适应证、禁忌证、详细操作流程,以及数据分析和解读。

Anorectal manometry is an important technique for evaluating anorectal motility and sensory function.At present,hundreds of medical institutions in China have successively carried out high⁃resolution anorectal manometry(HR⁃ARM).In order to standardize the operation and application of this technology,the Gastrointestinal Motility Group,Functional Gastrointestinal Disease Group and Esophageal Disease Group of Chinese Society of Gastroenterology,Chinese Medical Association,together with the China Health Promotion Foundation,jointly carried out the Gastrointestinal Motility Quality Control Circle(GIMQCC),and initiated the development of this guideline.During the development process of this guideline,domestic experts in relevant fields were invited to search,organize,and discuss relevant literatures both domestically and internationally,and multiple rounds of expert seminars were held to determine the contents of the guideline.This guideline covers the indications,contraindications,detailed operation procedures,as well as data analysis and interpretation of HR⁃ARM.