排粪造影与临床检查评价便秘患者直肠套叠的临床研究  

Clinical Study on the Evaluating Rectal Intussusception of Constipation Patients by Defecography Vs by Clinical Inspection

作　　者：孙秋德[1] 龚水根[2] 

机构地区：[1]解放军第107医院影像科,山东烟台264002 [2]第三军医大学大坪医院放射科,重庆400042

出　　处：《中国肛肠病杂志》2014年第10期50-52,共3页Chinese Journal of Coloproctology

摘　　要：为比较排粪造影与临床检查对便秘患者直肠套叠的诊断准确性，对123例便秘患者行常规临床检查与排粪造影，比较两种检查方法对直肠套叠的诊断准确性。结果显示，临床检查确定直肠套叠36例，无直肠套叠74例，不确定13例。排粪造影诊断直肠套叠76例，其中I度43例，Ⅱ度19例，Ⅲ度14例；无直肠套叠47例。临床检查确定直肠套叠的36例患者经排粪造影检查证实33例（其中I度10例，Ⅱ度11例，Ⅲ度12例），无直肠套叠3例。结果表明，临床检查对Ⅱ、Ⅲ度直肠套叠的诊断准确率较高，对I度直肠套叠的诊断率较低；排粪造影对直肠套叠的检出率更高，对于临床检查直肠套叠阴性的患者行排粪造影检查是必要的，有助于指导临床制定治疗方案。This study was to compare the diagnosis accuracy of by defecography and by clinical routine in- spection for rectal intussusception of 123 constipation patients. Compared results showed that clinical in- spection confirmed the 36 cases being of rectal intussusception, 74 without rectal intussusception, rest 13 unknown,while the defecography diagosed 76 cases being of rectal intussusception（included I degree in 43 cases, II degree in 19, Ⅲ degree in 14） and 47 without one;among the clinically confirmed 36 cases 33 had been demonstrated by defecography（included I degree in 10, Ⅱ degree in 11, Ⅲ degree in 12）,rest 3 cases demonstrated without intussusception.Results show that for Ⅱ , Ⅲ degree one clinical inspection has higher diagnosis accuracy, but for Ⅰ degree less accurary; while defecography just has more higher accuracy, therefore,the recessive patients showed by clinical inspection are necessary to be received defecography,so that helpful to teach developing clinical treatment regime.

关 键 词：便秘 直肠套叠 排粪造影 临床检查 诊断 

分 类 号：R574.620.4[医药卫生—消化系统]