功能性便秘患者直肠肛门动力与直肠感觉功能的研究  

Study on colonic dynamics,anorectal motility and rectal sensation in patients with functional constipation

作　　者：王伟 赵洪川[2] 

机构地区：[1]浙江省舟山市普陀人民医院,浙江舟山316100 [2]卫生部中日友好医院,北京100029

出　　处：《现代实用医学》2009年第6期561-563,共3页Modern Practical Medicine

摘　　要：目的探讨功能性便秘可能的病理生理学机制。方法采用不透X线标志物测定53例功能性便秘患者全结肠和结肠节段通过时间,通过直肠球囊内注入空气,研究直肠容量刺激对初始感觉阈值、最大耐受性的影响。结果功能性便秘患者结肠通过时间延长,且结肠通过时间延长主要发生在左半结肠区、乙状结肠直肠区,并存在肛门直肠动力异常。结论结肠直肠肛门动力紊乱与直肠感觉异常均参与功能性便秘的发展。Objective To explore the possible pathophysiology of functional constipation with colonic transit test, anorectal manometry, rectal pressure-stimulation, and to assess its variety of manometric abnormalities and visceral perception. Methods According to diagnostic criteria of Roman III, the data of 53 patients （ both in out-patient and in-patient department） was collected. Total and segmental colonic transit times and transit indexes were assessed radiographically by radiopaque markers method, adopting; standard anorectal manometry was adopted to monitor the anorectal function, and rectal visceral perception thresholds were examined after rectal pressure-stimulation. Results The research results demonstrated that the colonic transit time in functional constipation patients was significantly prolonged, major in the area of right colon and anorectum. Patients also had the abnormalities in anorectal motility. Conclusion Abnormal colonic transition, abnormal anorectal motility and abnormal visceral perception are often found in patients with functions constipation.

关 键 词：便秘 结肠通过时间 肛门直肠动力 肛门直肠测压 

分 类 号：R574[医药卫生—消化系统]