直肠内、外脱垂的肛管直肠动力学差异  

Differences in anorectal dynamics between patients with internal rectal prolapse and those with rectal prolapse

作　　者：祝利[1] 艾克拜尔[1] 龚旭晨[1] 

机构地区：[1]新疆维吾尔自治区人民医院肛肠外科,新疆乌鲁木齐830001

出　　处：《结直肠肛门外科》2011年第3期161-164,共4页Journal of Colorectal & Anal Surgery

摘　　要：目的探讨直肠内脱垂与直肠外脱垂的肛管直肠动力学差异。方法经排粪造影明确诊断的直肠内脱垂患者13例,直肠外脱垂患者12例,均采用ZGJ-D3型肛肠压力检测仪行直肠肛管压力测定,并与12例正常组对照分析,回顾性研究直肠肛管的动力学改变。结果直肠外脱垂与直肠内脱垂相比,肛管静息压力降低明显(5.27±2.35 kPa vs 12.53 kPa±5.37 kPa,P<0.05),肛管舒张压降低明显(0.93 kPa±0.40 kPa vs 3.75 kPa±1.59 kPa,P<0.05)。结论直肠内脱垂及直肠外脱垂存在有肛管动力学差异。Objective To investigate the differences in anorectal dynamics between patients with internal rectal prolapse and those with rectal prolapse. Methods Fifty-five patients with internal rectal prolapse and twelve patients with rectal prolapse were enrolled in this study. Each patient underwent anorectal manom- etry with ZGJ-D3 Anorectal Pressure Detector. A control group consisting of 12 normal individuals was al so studied. Results Compared with the internal rectal prolapse group, patients of the rectal prolapse group had decreased anal resting pressure （5.27 kPa±2.35 kPa vs 12. 53 kPa±5. 37 kPa, P 〈0.05） ,and reduced anal relaxation pressure（0. 93 kPa±0.40 kPa vs 3.75 kPa±l. 59 kPa, P 〈0. 05）. Conclusion There are signifcant differences in anorectal dynamics between patients with internal rectal prolapse and those with rectal prolapse.

关 键 词：肛管直肠压力测定 直肠内脱垂 直肠外脱垂 肛管直肠动力学 

分 类 号：R657.1[医药卫生—外科学]