肛管直肠压力测定在肛门功能评估中的价值及临床应用  

Clinical application of anorectal manometry in anal function assessment

作　　者：罗敏[1] 李峨[1] 李国栋[1] 聂伟健[1] 智建文[1] 邱剑锋[1] 寇玉明[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《现代中西医结合杂志》2012年第18期1946-1947,共2页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的观察肛管直肠压力测定在肛门功能评估中的临床应用价值。方法以术后橡皮筋脱落时间为分组依据将62例高位肛瘘病例分为3组,试验1组<10 d,试验2组10～16 d,试验3组>16 d。分别观察3组手术前后的肛管直肠压力测定(静息压、收缩压、排便压改变率)、痊愈后wexner评分。结果试验1组wexner评分与试验2组和试验3组比较均有显著性差异(P均<0.05)。痊愈后wexner评分与肛管直肠压力测定静息压下降率的Pearson的相关系数为0.579(P=0.00)。结论在高位肛瘘挂线术后的肛门功能评估中,肛管直肠压力测定和wexner评分具有一致性,且肛管直肠压力测定(静息压、收缩压、排便压改变率)较wexner评分评估更加精确。Objective It is to observe the clinical application of anorectal manometry in anal function assessment. Methods According to the rubber band off time, sixty-two examples diagnosed as high anal fistula were divided into 3 groups： the rubber band off time 〈 10 days in Group A, 10 -16 days in Group B and 〉 16 days in Group C. The indicators of anorectal manometry before and after surgery and wexner score were observed in all groups. Results The wexner score of Group A had significant difference compared with Group B and Group C （P 〈 0.05）. Recovery wexner score and anorectal manometry rest pressure drop rate of the Pearson＇s correlation coefficient was 0,579 （P = 0. 00）. Conclusion In the anal function assessment of the cutting seton therapy in high anal fistula, anorectal manometry and wexner score with consistency, and anorectal manometry evaluation score is more accurate than wexner.

关 键 词：肛管直肠压力测定 高位肛瘘 肛门功能评估 

分 类 号：R574.8[医药卫生—消化系统]