肛肠疾病手术前后肛管直肠压力测定的临床分析  

Clinical Analysis of Anorectal Manometry before and after Anorectal Disease Surgery

作　　者：韩洋波 

机构地区：[1]浙江省嵊州市人民医院普外科,浙江嵊州312400

出　　处：《中国继续医学教育》2017年第7期112-114,共3页China Continuing Medical Education

摘　　要：目的探讨肛肠疾病手术前后肛管直肠压力测定。方法此次收集了我院2015年1月-2016年12月收治的择期手术治疗的肛肠疾病患者60例作为研究对象,未行手术治疗前对60例患者肠管直肠进行测压,所获数据为术前组;患者术后恢复1个月,便对其肠管直肠重新测压,将所获数据作为术后组;比较患者术前、术后所获肠管直肠测压数据。结果环状混合痔患者、低位肛瘘患者手术前后肠管直肠测压数据差异不大,数据比较差异无统计学意义(P>0.05);环状嵌顿痔患者手术治疗前的肛管静息压偏高、肛管舒张压偏低,手术后肛管静息压低于手术前,肛管舒张压高于手术前,差异具有统计学意义(P<0.05);慢性肛裂患者、肛周脓肿患者手术治疗前的肛管静息压与直肠静息压偏高,肛管舒张压偏低,手术后肛管静息压、直肠静息压低于手术前,肛管舒张压高于手术前,差异有统计学意义(P<0.05);高位肛瘘患者手术治疗后肛管静息压低于手术前,差异具有统计学意义(P<0.05)。结论常见肛肠疾病患者术前、术后肛管直肠压力因病症情况存在较大的不同之处;要全面分析肛肠疾病患者肛管直肠压力于手术治疗前后的变化,以此准确判断手术治疗效果与患者术后恢复情况。Objective To investigate the anorectal manometry before and after anorectal disease surgery. Methods 60 patients of elective surgery in our hospital from January 2015 to December 2016 from the anorectal diseases as the research object, anorectal manometry of 60 cases without surgical treatment of 60 cases with bowel was detected, the data obtained for the preoperative group; 1 month postoperative recovery of the bowel, rectum re manometry, the obtained data as postoperative group; postoperative intestinal manometry data obtained after operation was compared. Results There were no significant differences in the data of bowel rectal pressure between the patients with annular mixed hemorrhoids and low anal fistula before and after operation （P〉 0.05）.The anal resting pressure of the anal canal before the operation was significantly higher, Anal diastolic blood pressure was lower than after operation, postoperative anal canal resting pressure was lower than before surgery, anal canal diastolic blood pressure was higher than before surgery, the difference was statistically significant（P 〈0.05）. The anal resting pressure and rectal resting pressure were higher in patients with chronic anal fissure and perianal abscess before operation, and the anal diastolic blood pressure was lower than after operation, postoperative anal resting pressure, rectal resting pressure was lower than before surgery, anal canal diastolic blood pressure was higher than before surgery, the difference was statistically signifieant（P 〈0.05）. High anal fistula after surgery in patients with anal resting pressure was lower than before surgery, and the difference was statistically significant （P 〈0.05）.Conclusion The common anorectal disease patients before operation, postoperative anorectal pressure due to illness are quite different; the change to comprehensive analysis of patients with anorectal disease. Rectal pressure on the operation before and after the treatment, in order to accurately determine the effect of surgica

关 键 词：肛肠疾病 肛管直肠压力测定 手术前后 

分 类 号：R657.1[医药卫生—外科学]