發(fā)布時間：2018-07-26 10:47

【摘要】：目的:探討經(jīng)會陰超聲與X線排糞造影對直腸前突與盆底失遲緩綜合征的診斷價值。方法 :所有病人分別行經(jīng)會陰超聲與X線排糞造影檢查,對直腸前突、盆底失弛緩綜合征的診斷結(jié)果行比較分析,對直腸前突的分度診斷結(jié)果行比較分析。結(jié)果:經(jīng)會陰超聲診斷直腸前突陽性66例、陰性8例;X線排糞造影診斷直腸前突陽性62例、陰性12例,二組間差異無統(tǒng)計學意義(P0.05)。會陰超聲與X線排糞造影同時診斷為直腸前突的病人共57例,二組檢查測量直腸前突深度指標,二組間差異無統(tǒng)計學意義(P0.05)。在直腸前突分度的診斷中,經(jīng)會陰超聲與X線排糞造影測量直腸前突深度指標,其中診斷為輕度25例、中度23例、重度9例,二組測量指標在輕、中、重三組間比較,差異無統(tǒng)計學意義(P0.05)。經(jīng)會陰超聲診斷盆底失弛緩綜合征陽性60例、陰性14例;X線排糞造影診斷盆底失遲緩綜合征陽性57例、陰性17例,二組間差異無統(tǒng)計學意義(P0.05)。經(jīng)會陰超聲與X線排糞造影同時診斷為盆底失弛緩綜合征的病人共50例,測量肛直角(ARA)靜息相和力排相指標,二組間差異無統(tǒng)計學意義(P0.05)。經(jīng)會陰超聲與X線排糞造影診斷盆底失遲緩綜合征中觀察恥骨直腸肌的運動情況統(tǒng)計指標,二組間差異無統(tǒng)計學意義(P0.05)。結(jié)論:經(jīng)會陰超聲與X線排糞造影對直腸前突、盆底失弛緩綜合征診斷結(jié)果比較無差異。經(jīng)會陰超聲可以作為直腸前突、盆底失弛緩綜合征的檢查手段之一。
[Abstract]:Objective: to evaluate the diagnostic value of transperineal ultrasonography and X-ray defecography in the diagnosis of rectal protrusion and pelvic floor loss retardation syndrome. Methods: all patients were examined by transperineal ultrasonography and X ray defecography respectively. The diagnosis results of rectal protrusion and pelvic floor achalasia syndrome were compared and analyzed. Results: there were 66 cases of positive rectal protrusion diagnosed by transperineal ultrasound, 62 cases of negative X ray defecography and 12 cases of negative diagnosis. There was no significant difference between the two groups (P0.05). There were 57 cases of rectal protrusion diagnosed simultaneously by perineal ultrasound and X ray defecography. The depth of rectal protrusion was measured in two groups. There was no significant difference between the two groups (P0.05). In the diagnosis of rectal protrusion, the depth of rectal protrusion was measured by perineal ultrasound and X ray defecography, including mild 25 cases, moderate 23 cases, severe 9 cases. The difference was not statistically significant (P0.05). There were 60 cases of pelvic floor achalasia syndrome diagnosed by transperineal ultrasonography, 14 cases of negative X ray defecography in 57 cases of pelvic floor loss retardation syndrome positive, 17 cases negative. There was no significant difference between the two groups (P0.05). 50 patients with pelvic floor achalasia syndrome were diagnosed by perineum ultrasonography and X ray defecography simultaneously. The resting phase and force excretion index of right anal angle (ARA) were measured. There was no significant difference between the two groups (P0.05). In the diagnosis of pelvic floor loss retardation syndrome by perineal ultrasound and X ray defecography, there was no significant difference between the two groups (P0.05). Conclusion: there is no difference between transperineal ultrasonography and X-ray defecography in the diagnosis of rectal protrusion and pelvic floor achalasia syndrome. Transperineal ultrasound can be used as one of the examination methods of anterior rectal protrusion and pelvic floor achalasia syndrome.
【作者單位】： 沈陽市肛腸醫(yī)院電診科;中國醫(yī)科大學附屬第一醫(yī)院超聲科;
【分類號】：R445.1;R574.62;R816.5

【相似文獻】

相關期刊論文 前10條

1 林良毅;王萍;郭光遠;邱洪明;;動態(tài)磁共振排糞造影對手術治療直腸前突前后的影像觀察[J];中國中西醫(yī)結(jié)合影像學雜志;2012年05期

2 孫謙;;直腸前突修補術中的配合[J];中華護理雜志;1992年05期

3 焦俊,李小寶,鄭渝平,付向陽,吳家昌;直腸前突73例X線表現(xiàn)[J];貴州醫(yī)藥;1999年02期

4 蔡志春;蔣家林;張新毅;董洪海;高澤順;劉培喜;;直腸前突的排便造影診斷(附62例臨床分析)[J];醫(yī)學影像學雜志;1991年01期

5 黃彩娥,趙小麗,沈雪琴;直腸前突修補術的護理[J];護理學雜志;2003年01期

6 邱洪明;梁波;張可勇;張起會;;排糞造影對經(jīng)肛門自動痔瘡套扎治療直腸前突手術前后影像觀察[J];中國中西醫(yī)結(jié)合影像學雜志;2008年06期

7 董麗芳;;直腸前突患者的健康指導[J];中國醫(yī)療前沿;2010年18期

8 張紅芬;胡良勝;;雙半環(huán)直腸下端黏膜切除術治療與護理直腸前突[J];湖北中醫(yī)雜志;2007年12期

9 韋瑞麗,周震;經(jīng)陰道直腸前突修補術的護理[J];廣西醫(yī)科大學學報;2001年S1期

10 元芳;;雙把痔吻合器治療中重度直腸前突的應用及護理[J];齊魯護理雜志;2009年20期

相關會議論文 前2條

1 陶弘武;柳越冬;辛世勇;;52例直腸前突的影像學分析[A];中華中醫(yī)藥學會肛腸分會換屆會議暨便秘專題研討會論文�？痆C];2007年

2 陶鳳杰;;直腸前突經(jīng)肛修補術護理體會[A];中華中醫(yī)藥學會肛腸分會換屆會議暨便秘專題研討會論文�？痆C];2007年

，

本文編號：2145764