使用直肠排便造影诊断便秘的价值研究

目的:探讨使用直肠排便造影诊断便秘的价值。方法 :选取我院2013年3月至2014年7月期间收治的40例便秘患者和40例健康体检者作为研究对象。将40例便秘患者作为观察组,将40例健康体检者作为对照组。对所有研究对象使用直肠排便造影进行检查,然后比较两组研究对象排便前至排便中肛直角的改变量和肛上距。结果 :经检查发现,观察组患者排便前至排便中肛直角的改变量均明显大于对照组人,差异显著,具有统计学意义(P<0.05);观察组患者排便中的肛上距明显小于对照组人,差异显著,具有统计学的意义(P<0.05);观察组中有38例患者的直肠出现前突,有1例患者发生肛管狭窄,有28例患者出现直肠前突并发盆底肌痉挛,有5例患者并发会阴下降,有4例患者并发直肠黏膜脱垂。结论:直肠排便造影可通过检测患者排便前至排便中肛直角的改变量和肛上距诊断便秘,并确认导致其排便不畅的解剖学功能障碍,有助于临床医师确定治疗方案。此检测方法值得在临床上推广应用。

Objective To research the clinical effect of rectal defecography. Methods Chose 40 cases of patients who were treated in our hospital from March 2013 to July 2014 as observation group, while 40 cases of normal people as control group. Used rectal defecography to check the anorectal angle and anal distance, and analyzed the cause. Results found the change of anorectal angle(ARA) in the observation group before defecation and underdefecation was significantly greater than it was in the control group before defecation and under defecation, the data was statistically significant (P <0.05); Also found the anal distance in the observation group was significantly lower than it was from control group patients, the data was statistically significant (P <0.05). By analyzing the etiology , found 38 cases of encysted rectum, and 1 cases of anal stenosis, 28 cases were concurrent encysted rectum and the pelvic floor muscle cramps, 5 cases were concurrent the decrease of perineal concurrent, 4 cases were concurrent rectal mucosa prolapse. Conclusion The rectal defecography can be a effective clinical diagnosis for constipation, With high clinical value, the method can be universally promoted.