肛管直肠功能测定在功能性便秘治疗中的应用.pdfVIP

+ 798 + 2008 3 14 5 Medical Recapi ula e, Mar 2008, Vol . 14, No . 5 1 2 1 陈 敏 , 张 涛, 龚旭晨 ( 1. , 83000 1; 2. , 83000 1) : R443. 8; R442. 2 : A : 2008) : 探讨肛管直肠功能测定, 在功能性便秘患者的诊疗中的意义 对4 1 例功 ~ 3 cm ; ∃ 能性便秘患者和10 例健康志愿者行肛管直肠功能测定, 将 述两组资料进行分析以及对比 : 模拟排便时, 功能性便秘患者的肛门括约肌松弛压平均值[ ( 84. 75 9 ) mmHg] , 明显高于正 , ; % 常志愿者平均值[ (40. 5 5. 25) mmHg] ; 便秘患者的排便阈值平均值[ ( 60 5. 5) mL] , 最大耐受阈 : 0. 值[ ( 210 14. 3) mL] 明显高于正常志愿者平均值[ ( 35 4. 2) mL , ( 115 13. 6) mL] ; 功能性便秘患 5cms , 者直肠静息压肛管静息压最大缩窄压肛管高压区长度的平均值与正常对照组比较均无明显差 异 肛管直肠功能测定在功能性便秘诊疗中发挥着重要作用, 应该加以推广 ; : : 肛管直肠功能测定; 功能性便秘; 应用 ; ∋ 1 2 : ; ( Application of Anorectal Manometry on Functional Constipation CHEN Min , ZHAN G Tao , GONG Xu 1 : chen . ( 1. Dep artment of A nalrectal Surgery , Xinj iang Pro incial Peop leH osp ital , Urumqi 830054, China; 2. Dep artment of Emergency Surgery , Xinj iang Pro incial Peop le H ospital , Urumqi 830054, China ) ; ) ( Abstract: Objective To inves iga e he role of Anorec al manome ry in he diagnosis and herapy of func ional cons ipa ion. Methods 41 pa ien s wi h func ional cons ipa ion were sel ec ed o accep Anorec al manom 50mL, e ry . T en heal hy subjec s were also selec ed as con rol group. Anorec al manome ry was performed.The da a of ) ; ∗ anorec al func ion was analyzed and con ras ed be ween he wo groups. Results While simula ive defeca ion , o compared wi h heal hy subjec s[ ( 84. 75 9 ) mmHg] , pa ien s wi h cons ipa ion had higher anal relaxing pre ss