129例顽固性便秘的病因分析.docVIP

129例顽固性便秘的病因分析 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：129例顽固性便秘的病因分析 1 1 资料和方法 2 2 结 果 3 3 讨 论 4 文2：治疗一例顽固性便秘的心得体会 6 一、病案简介 7 二、病案探讨 8 三、结语 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 10 正文 129例顽固性便秘的病因分析 文1：129例顽固性便秘的病因分析 [Abstract] Objective To study the relation between cotipation and functional outlet obstruction. Methods A total of 129 patients with intractable cotipation, who had been keeping longtermed cotipation and whose symptoms deteriorated recently, were checked by defecography. And another team of 40 cases without cotipation was examined in the same way. Results In the team of 129 cases, the prolapse of rectal mucosa and rectum intussusception were found in 38 pationts, anterior rectocele in 101 cases, hernia of pelvic floor in 28 cases, decending pelvic floor and perineum in 52cases, puborectlis muscle hypertrophy 11 cases. In the other team of 40 cases without cotipation, the above image changes were respectively found in 6, 21, 3, 11, and 0 patients. And 79 cases of 129 patients were found to have at less two image changes of the above simultaneously. There was distinctive significant difference in the positive rate between the two teams’. Conclusion Functional outlet obstruction cotipation can certainly result from longtermed chronic cotipation, and it can undoubtedly make the cotipation from bad to woe on the original basis, and what’s more, it will lead to stubborn cotipation. [Key words] Defecography; Cotipation; Obstruction of functional outlet; Intractable cotipation 便秘作为许多疾病的一个症状[1] , 许多人不以为然，且往往不来 医院 就诊。随着持续时间的延长及年龄的增大，症状进行性加重，最后形成多种原因混合存在的顽固性便秘，其中就包括功能性出口梗阻型便秘。功能性出口梗阻系指只有在排便过程中才表现出来的直肠肛管的一系列功能性异常，包括：直肠黏膜脱垂、套叠，直肠前突，盆底疝，会阴下降，耻骨直肠肌肥厚等。排粪造影是诊断功能性出口梗阻的重要X线检查方法[3] 。 1 资料和方法 一般资料 搜集我院2003～2005年应用数字胃肠机作排粪造影检查的129例顽固性便秘患者和40例无便秘症状的志愿者。 本组129例，男21例，女108例，年龄最大82岁，最小4岁，平均46岁。患者均有长期(指2年以上或自幼)3～4 d大便1次，大便干燥的病史。近来（指近2个月至半年）症状明显加重：大便量少，无便意，排便费时，费力，用泻药效果不佳，常感肛门坠胀，排便不尽。经临床综合检查及其它辅助检查排除器质性病变后来我科作排粪造影检查。 检查方法 检查前先作清洁灌肠，在沿用卢任华排粪造影方法的基础