功能性慢性便秘的数字影像检查与临床应用  

The digital image check and clinical application of the chronic functional astriction

作　　者：吴德红[1] 杨松[1] 牛贤奎[1] 傅秋明[1] 胡承雷[1] 

机构地区：[1]湖北省十堰市郧阳医学院附属十堰市太和医院放射科,442000

出　　处：《中国临床实用医学》2008年第5期19-21,共3页China Clinical Practical Medicine

摘　　要：目的探讨功能性慢性便秘的原因，评价数字影像学检查与诊断的价值。方法回顾性分析了270例功能性慢性便秘患者的影像学检查与诊断及临床资料。结果270例患者均进行了排粪造影检查，阳性率为100％；其中36例进行了结肠运输试验检查，阳性率为75％；10例进行了腹腔造影检查，阳性率为80％。结论功能性便秘原因复杂，根据动态改变分为三型：①结肠传输功能障碍型；②直肠排空障碍型；③混合型。影像学检查价值较大，能为临床治疗提供可靠客观依据。同时指出详细临床资料是提高影像学检查阳性率的重要条件。Objective To explore the reason of the functional chronic astriction, and to evaluate the value of digital image check and diagnosis. Methods The image check,diagonosis and clinical date on 270 cases with the functional chronic astriction were reviewed and analyzed. Results All the 270 cases were treated by decography,positive rate was 100% ; and 36 cases were also checked by colonic transportation experiment, positive rate was 75% ; 10 cases were examined by pertonegraphy,positive rate was 80%. Conclusion The reason of the function chronic astriction is very complicated. It can be divided into 3 types on the basis of the development change ： transfer impediment of colon, eject impediment of rectum and the mixture of the two. The image examination has greatly diagnosis value. It can provide reliable foundation for clinical treatment, and detailed clinic resource was viewed significant condition of increasing positive rate of the image check.

关 键 词：慢性便秘 影像学检查 诊断 

分 类 号：R574.62[医药卫生—消化系统] R445[医药卫生—内科学]