经会阴超声与X线排粪造影对直肠前突与盆底失弛缓综合征诊断价值的比较研究

发布时间：2018-07-26 10:47

【摘要】：目的:探讨经会阴超声与X线排粪造影对直肠前突与盆底失迟缓综合征的诊断价值。方法 :所有病人分别行经会阴超声与X线排粪造影检查,对直肠前突、盆底失弛缓综合征的诊断结果行比较分析,对直肠前突的分度诊断结果行比较分析。结果:经会阴超声诊断直肠前突阳性66例、阴性8例;X线排粪造影诊断直肠前突阳性62例、阴性12例,二组间差异无统计学意义(P0.05)。会阴超声与X线排粪造影同时诊断为直肠前突的病人共57例,二组检查测量直肠前突深度指标,二组间差异无统计学意义(P0.05)。在直肠前突分度的诊断中,经会阴超声与X线排粪造影测量直肠前突深度指标,其中诊断为轻度25例、中度23例、重度9例,二组测量指标在轻、中、重三组间比较,差异无统计学意义(P0.05)。经会阴超声诊断盆底失弛缓综合征阳性60例、阴性14例;X线排粪造影诊断盆底失迟缓综合征阳性57例、阴性17例,二组间差异无统计学意义(P0.05)。经会阴超声与X线排粪造影同时诊断为盆底失弛缓综合征的病人共50例,测量肛直角(ARA)静息相和力排相指标,二组间差异无统计学意义(P0.05)。经会阴超声与X线排粪造影诊断盆底失迟缓综合征中观察耻骨直肠肌的运动情况统计指标,二组间差异无统计学意义(P0.05)。结论:经会阴超声与X线排粪造影对直肠前突、盆底失弛缓综合征诊断结果比较无差异。经会阴超声可以作为直肠前突、盆底失弛缓综合征的检查手段之一。
[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.
【作者单位】：沈阳市肛肠医院电诊科;中国医科大学附属第一医院超声科;
【分类号】：R445.1;R574.62;R816.5

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