本文選題：肛門閉鎖 + 肛管內(nèi)超聲��； 參考：《重慶醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的 通過肛管內(nèi)超聲（EUS）和肛直腸測壓檢查對肛門閉鎖術(shù)后肛門功能做客觀評價(jià)，并指導(dǎo)進(jìn)一步治療。 方法 對34例肛門閉鎖術(shù)后患兒分別采用EUS、肛直腸測壓測量肛管中位水平內(nèi)外括約肌厚度、肛周肌肉血供及彈性、肛門括約肌松弛反射情況，并結(jié)合臨床評分評價(jià)術(shù)后肛門功能。對Pe a術(shù)組、經(jīng)會陰肛門成形術(shù)組及對照組肛管中位水平內(nèi)外括約肌厚度行組間獨(dú)立樣本t檢驗(yàn)。 結(jié)果 （1）EUS測得肛門閉鎖術(shù)后患兒肛管中位水平肛門內(nèi)外括約肌厚度優(yōu)良率為100％，肛直腸測壓括約肌松弛反射引出的優(yōu)良率為91.2％，，均高于肛門功能臨床評分優(yōu)組70.6％，客觀指標(biāo)的恢復(fù)先于主觀指標(biāo)，可以通過參照客觀指標(biāo)，對主觀指標(biāo)恢復(fù)不滿意的患兒有針對性的行個體化功能鍛煉。 （2）Pe a術(shù)組測得肛門閉鎖術(shù)后患兒肛管中位水平內(nèi)外括約肌厚度分別為：1.42±0.22mm及3.21±0.25mm，經(jīng)會陰肛門成形術(shù)組為1.33±0.22mm及3.10±0.33mm，對照組肛管中位水平內(nèi)外括約肌厚度分別為1.21±.017mm及3.00±0.18mm，組間兩兩比較差異均無統(tǒng)計(jì)學(xué)意義。 （3）20例Pe a術(shù)后行EUS檢查，6例檢測到骶尾部肛周肌肉缺損。 結(jié)論 EUS及肛直腸測壓檢查可客觀評價(jià)先天性肛直腸畸形術(shù)后排便功能。
[Abstract]:Objective to evaluate the anal function after anal atresia by means of intraanal ultrasound (EUS) and anorectal manometry. Methods 34 children with anal atresia were treated with EUSand anorectal manometry to measure the internal and external sphincter thickness, the blood supply and elasticity of perianal muscle, and the relaxation reflex of anal sphincter. The anal function was evaluated with clinical score. The thickness of internal and external sphincter at the median level of anal canal in the perineum anoplasty group and the control group were examined by independent t-test. Results (1) the excellent and good rate of anal canal horizontal anal sphincter thickness was 100 in children after anal atresia, and the excellent and good rate of sphincter relaxation reflex in anorectal manometry was 91.2. The recovery of objective indexes was earlier than that of subjective indexes, and the objective indexes could be obtained by referring to objective indexes. (2) the median anal sphincter thickness of children after anal atresia was measured to be: 1. 42 鹵0.22mm and 3. 21 鹵0. 25 mm respectively, and the perineal anal thickness was 3. 21 鹵0. 25 mm in the perineum anus group. (2) the median anal sphincter thickness of the children after anus atresia was 1. 42 鹵0.22mm and 3. 21 鹵0. 25 mm respectively. The thickness of internal and external sphincter in the control group was 1.21 鹵.017mm and 3.00 鹵0.18mm, respectively. There was no significant difference between the two groups. (3) there was no significant difference between the two groups. (3) the sacrococcygeal perianal muscle defect was detected in 6 cases after Pe a operation in 20 cases. Conclusion EUS and anorectal manometry can objectively evaluate postoperative defecation function of congenital anorectal malformation.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R726.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 馬蘇亞;;超聲彈性成像技術(shù)在臨床上的應(yīng)用[J];現(xiàn)代實(shí)用醫(yī)學(xué);2013年07期

2 吳彬;;肛管腔內(nèi)超聲對肛門括約肌的形態(tài)學(xué)觀察與評價(jià)[J];世界華人消化雜志;2010年28期

本文編號：2091633