动态排粪X线造影检查在直肠前突中的应用  

Application of Dynamic X-ray Defecography in Rectocele

作　　者：范华刚 蔡磊[2] 谢安明 陈慧婷 查婧 魏文峰 FAN Hua-gang;CAI Lei;XIE An-ming;CHEN Hui-ting;ZHA Jing;WEI Wen-feng(Department of Radiology,the 908 th Hospital of Joint Logistic Support Force of the Chinese People’s Liberation Army,Nanchang 330002,China;Department of Radiology,Hangzhou Xiaoshan District Hospital of Traditional Chinese Medicine,Hangzhou 311200,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇八医院放射诊断科,南昌330002 [2]杭州市萧山区中医院放射科,杭州311200

出　　处：《实用临床医学（江西）》2023年第2期67-69,F0004,共4页Practical Clinical Medicine

摘　　要：目的探讨动态排粪X线造影在直肠前突中的应用价值。方法选择105例单纯直肠前突患者,进行动态排粪X线造影检查及常规排粪X线造影检查,对比分析动态排粪X线造影在直肠前突诊断中的准确性。结果105例直肠前突患者,女性86例(81.9%),男性19例(18.1%),女性直肠前突发病率明显高于男性(P<0.05)。动态排粪X线造影直肠前突诊断率高于常规排粪X线造影(100.0%比52.4%,P<0.05);与常规排粪X线造影比较,动态排粪X线造影在轻度(100.0%比62.5%)和中度(100.0%比40.0%)直肠前突中的诊断率更高(P<0.05),重度直肠前突诊断率的差异无统计学意义(100.0%比86.2%,P>0.05)。结论相比常规排粪X线造影,动态排粪X线造影检查能直观、准确反映直肠前突形态及程度,提高直肠前突尤其是轻中度直肠前突的诊断准确性。Objective To discuss the value of dynamic X-ray defecography in rectocele.Methods A total of 105 patients with rectocele underwent dynamic and conventional X-ray defecography.The accuracy of dynamic X-ray defecography in the diagnosis of rectocele was analyzed.Results Among the 105 patients,86(81.9%)were female and 19(18.1%)were male.The incidence of rectocele in females was higher than that in males(P<0.05).Dynamic X-ray defecography had a higher diagnostic rate than conventional X-ray defecography for rectocele(100.0%vs 52.4%),especially for mild rectocele(100.0%vs 62.5%)and moderate rectocele(100.0%vs 40.0%)(P<0.05).There was no significant difference in the diagnostic rate of severe rectocele between the two methods(100.0%vs 86.2%,P>0.05).Conclusion Compared with conventional X-ray defecography,dynamic X-ray defecography can directly and accurately reflect the morphology and degree of rectocele,and improve the diagnostic accuracy of rectocele,especially mild to moderate rectocele.

关 键 词：排粪X线造影 动态采集 直肠前突 

分 类 号：R445.4[医药卫生—影像医学与核医学] R574.63[医药卫生—诊断学]