肛门直肠测压在先天性巨结肠及巨结肠同源病中的应用进展  

Application advances of anorectal manometry for Hirschsprung's disease and allied disorders

作　　者：侯绍发 任冬晗[1] 许芝林[1] Hou Shaofa;Ren Donghan;Xu Zhilin(Department of Pediatric Surgery,First Affiliated Hospital,Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院儿外科,哈尔滨150001

出　　处：《临床小儿外科杂志》2022年第11期1045-1048,共4页Journal of Clinical Pediatric Surgery

基　　金：黑龙江省教育厅科学技术研究项目(12541401)

摘　　要：肛门直肠测压(anorectal manometry,ARM)是一种非侵入式的利用压力检测装置对肛管直肠运动反射进行检测的临床检查。先天性巨结肠及巨结肠同源病在儿童中发病率高,临床上对于其诊断与治疗的讨论日益激烈。近年来ARM以创伤小、无辐射、快速便捷等优点被广泛用于先天性巨结肠及巨结肠同源病的诊治和研究中,但其诊断价值存在较大争议。本文阐述近年来ARM在先天性巨结肠及巨结肠同源病诊断与疗效评估中的应用进展,分析ARM的缺陷和不足,为ARM的临床研究提供新思路。Anorectal manometry(ARM)is a non-invasive clinical tool of detecting anorectal rectal motion reflexes with a pressure detection device.It has been widely employed for diagnosing and treating Hirschsprung's disease and allied disorders due to the advantages of mini-invasiveness,non-radioactivity,rapidness and convenience.However,its diagnostic value has remained controversial.This review summarized the application of ARM in recent years and discussed its shortcomings to help better diagnose the diseases,evaluate the prognosis,improve patient quality-of-life and provide new rationales for in-depth ARM researches.

关 键 词：HIRSCHSPRUNG病 测压法 直肠疾病 肛门疾病 诊断 预后 

分 类 号：R73[医药卫生—肿瘤]