顽固性便秘的影像学诊断方法探讨  

Different imaging methods in diagnosis of intractable constipation

作　　者：丁俞江 谢禹昌[1] 王永兵[2] 张根福[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：《肿瘤影像学》2014年第3期236-239,245,共5页Oncoradiology

基　　金：上海市浦东新区卫生局重点学科建设基金(No:PWZxk2010-01);上海市浦东新区卫生局青年基金(No:PW2012B-5)

摘　　要：目的评价不同影像学诊断方法在顽固性便秘临床诊断中的应用价值。方法选择排粪造影、盆底四重造影、结肠运输试验、脾曲综合征专项检查4种方法,并进行比较。结果排粪造影诊断顽固性便秘的阳性率达43.37%,而盆底四重造影对盆底疝的诊断有意义,结肠运输试验对顽固性便秘而无便意者比较适宜,脾曲综合征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,有目的地选择不同影像学检查方法,特别对无便意者,具有鉴别诊断意义。Objective To evaluate the value of different imaging methods in the diagnosis of intractable constipation. Methods Defecography, four-contrast defecography, colon transport test and splenic flexure syndrome special exam were used in the diagnosis. The imagings were compared. Results The positive rate of defecography for intractable constipation was 43.37%; four-contrast defecography for pelvic floor hernia was meaningful; colon transport test for intractable constipation, especially for the patients who did not feel the need to have bowel movement was appropriate; splenic flexure syndrome special exam was a complementary method for colon transport test. Conclusion The imaging method should be selected according to different syndrome, especially for the patients who do not feel the need to have bowel movement.

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：R814.43[医药卫生—影像医学与核医学]