功能性便秘的影像诊断方法选择  

Functional constipation:Diagnosed with different imaging mothods

作　　者：丁俞江 谢禹昌[1,2] 王永兵[1,2] 张根福[1,2] 

机构地区：[1]上海市浦东新区人民医院放射科,上海201299 [2]上海市浦东新区人民医院肛肠外科,上海201299

出　　处：《结直肠肛门外科》2013年第5期276-280,共5页Journal of Colorectal & Anal Surgery

基　　金：上海市浦东新区卫生局重点学科建设基金(项目编号:PWZxk2010-01);上海市浦东新区卫生局青年基金(项目编号:PW2012B-5)

摘　　要：目的探讨选择不同的影像诊断方法对功能性便秘的诊断价值。方法选择用排粪造影、盆底四重造影、结肠运输试验、脾曲综合征专项检查的不同方法且进行图像比较。结果排粪造影对功能性便秘诊断的阳性率达43.37%,而盆底四重造影对盆底疝的诊断有意义,结肠运输试验对功能性便秘而无便意者比较适宜,脾曲综合征的专项检查是对结肠运输试验的补充和细化。结论根据患者不同的临床症状,有目的的选择不同的影像检查方法,特别是有无便意者,具有鉴别诊断意义。Objective To explore the value of selecting different imaging diagnosis mothods for functional constipation.Methods Compared the efficacy of different methods：defecography;four-constrast defecography;colon transport test;splenic flexure syndrome special exam.Results The positive rate of defecography for functional constipation was 43.37 ％ ;four-constrast defecography for pelvic floor hernia was meaningful;colon transport test for functional constipation,particularly the patient didn＇t have a call of nature were appropriate;splenic flexure syndrome special exam was complement for colon transport test.Conclusion s According to different syndrone,different imaging inspection should select purposefully,particularly the patient no feeling of stool is important for the differential diagnosis.

关 键 词：排粪造影 盆底四重造影 结肠运输试验 脾曲综合征专项检查 

分 类 号：R574.62[医药卫生—消化系统]