直肠扩张与出口梗阻型便秘PPH术后Wexner评分相关性  

Correlation between rectal dilation and Wexner score after PPH for outlet obstructive constipation

作　　者：张海宇 闫宇涛 张烁 王跃斌 ZHANG Haiyu;YAN Yutao;ZHANG Shuo;WANG Yuebin(Radiology Department,No.988 Hospital of the Joint Service Logistic Support Force of PLA,Zhengzhou,Henan 450042,China)

机构地区：[1]联勤保障部队第九八八医院影像医学科,河南郑州450042

出　　处：《中国医学工程》2024年第1期89-92,共4页China Medical Engineering

摘　　要：目的基于排粪造影研究直肠扩张与出口梗阻型便秘吻合器痔上黏膜环切术(PPH)术后Wexner评分相关性。方法分析90例出口梗阻型便秘患者资料,研究组60例伴直肠扩张,对照组30例不伴直肠扩张,两组均行PPH治疗。评价参数:直肠最大前后径、左右径、上下径、直肠体积。Wexner评分评估排便功能,比较直肠扩张对出口梗阻型便秘PPH术后Wexner评分的影响。结果研究组治疗前后Wexner评分分别为(26.2±0.7)分、(24.3±0.4)分,差异无统计学意义(P>0.05)。研究组治疗后Wexner评分与直肠最大前后径(7.23±1.04)cm、左右径(8.58±2.48)cm、上下径(19.42±0.27)cm及直肠体积(78.41±3.22)cm^(3)呈正相关(P<0.05),直肠体积与直肠最大前后径、左右径、上下径呈正相关(P<0.05)。对照组治疗前后Wexner评分分别为(20.1±0.1)分、(6.8±0.2)分,差异有统计学意义(P<0.05)。结论出口梗阻型便秘直肠扩张影响PPH术后Wexner评分,术前了解直肠扩张程度,可能更利于治疗及预后判断。【Objective】To study the correlation between rectal dilatation and Wexner score after procedure for prolapse and hemorrhoids(PPH)based on defecography.【Methods】The data of 90 patients with outlet obstructive constipation were analyzed.The study group included 60 patients with rectal dilatation,while the control group included 30 patients without rectal dilatation.Both groups received PPH treatment.Evaluation parameters:maximum anteroposterior diameter,left and right diameter,upper and lower diameter,and rectal volume.Wexner score was used to evaluate defecation function,and the effect of rectal dilation on Wexner score after PPH for outlet obstructive constipation was compared.【Results】The Wexner scores of the study group before and after treatment were 26.2±0.7 and 24.3±0.4 respectively,with no significant difference(P>0.05).After treatment,Wexner score was positively correlated with the maximum anteroposterior diameter of rectum 7.23±1.04 cm,left and right diameter 8.58±2.48 cm,upper and lower diameter 19.42±0.27 cm and rectal volume 78.41±3.22 cm^(3)(P<0.05),and rectal volume was positively correlated with the maximum anteroposterior diameter,left and right diameter,upper and lower diameter of rectum(P<0.05).The Wexner scores of the control group before and after treatment were 20.1±0.1 and 6.8±0.2 respectively,with a statistically significant difference(P<0.05).【Conclusion】Rectal dilation of outlet obstructive constipation affects Wexner score after PPH operation.It may be better for treatment and prognosis to know the degree of rectal dilation before operation.

关 键 词：出口梗阻型便秘 排粪造影 吻合器痔上黏膜环切术 

分 类 号：R657.1[医药卫生—外科学]