经会阴超声与X线排粪造影对直肠前突与盆底失弛缓综合征
诊断价值的比较研究

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摘要目的：探讨经会阴超声与X线排粪造影对直肠前突与盆底失迟缓综合征的诊断价值。方法：所有病人分别行经会阴超声与X线排粪造影检查，对直肠前突、盆底失弛缓综合征的诊断结果行比较分析，对直肠前突的分度诊断结果行比较分析。结果：经会阴超声诊断直肠前突阳性66例、阴性8例；X线排粪造影诊断直肠前突阳性62例、阴性12例，二组间差异无统计学意义（P＞0.05）。会阴超声与X线排粪造影同时诊断为直肠前突的病人共57例，二组检查测量直肠前突深度指标，二组间差异无统计学意义（P＞0.05）。在直肠前突分度的诊断中，经会阴超声与X线排粪造影测量直肠前突深度指标，其中诊断为轻度25例、中度23例、重度9例，二组测量指标在轻、中、重三组间比较，差异无统计学意义（P＞0.05）。经会阴超声诊断盆底失弛缓综合征阳性60例、阴性14例；X线排粪造影诊断盆底失迟缓综合征阳性57例、阴性17例，二组间差异无统计学意义（P＞0.05）。经会阴超声与X线排粪造影同时诊断为盆底失弛缓综合征的病人共50例，测量肛直角（ARA）静息相和力排相指标，二组间差异无统计学意义（P＞0.05）。经会阴超声与X线排粪造影诊断盆底失迟缓综合征中观察耻骨直肠肌的运动情况统计指标，二组间差异无统计学意义（P＞0.05）。结论：经会阴超声与X线排粪造影对直肠前突、盆底失弛缓综合征诊断结果比较无差异。经会阴超声可以作为直肠前突、盆底失弛缓综合征的检查手段之一。

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	李雪1
	王学梅2
	姜镔2

关键词 ：直肠前突, 骨盆底, 超声检查, 放射摄影术

Abstract：Objective: To compare the value of perineal ultrasound and defecography in diagnosing rectocele and pelvic floor achalasia syndrome. Methods: All patients were examined by perineal ultrasound and X-ray defecography. The diagnosing results of these two examinations in rectocele and pelvic floor achalasia syndrome were comparatively analyzed. Rectocele degrees were also compared. Results: Sixty-six cases of rectocele were positive and 8 cases were negative in perineal ultrasound, and in X-ray defecography 62 cases were positive and 12 were negative. There was no significant difference between groups(P>0.05). Fifty-seven cases of rectocele were diagnosed by both perineal ultrasound and X-ray defecography. The rectocele degrees had no significant difference(P>0.05) between two methods. By measuring rectocele degrees, perineal ultrasound and X-ray defecography diagnosed 25 cases mild rectocele, 23 cases moderate rectocele and 9 cases severe rectocele. There was no statistically significant difference between these groups by two examinations(P>0.05). Sixty cases of pelvic achalasia syndrome were positive and 14 cases were negative in perineal ultrasound, and in X-ray defecography 57 cases of pelvic floor achalasia syndrome were positive and 17 were negative. There was no significant difference between groups(P>0.05). Fifty cases of pelvic floor achalasia syndrome were diagnosed by both perineal ultrasound and X-ray defecography. The resting and efforts phase of anorecal angle had no significant difference(P>0.05). There was also no significant difference in the movement of musculus puborectalis(P>0.05). Conclusions: Perineal ultrasound is good at diagnosing rectocele and pelvic floor achalasia syndrome and it can be used to diagnose these two diseases.

Key words： Rectocele Pelvic floor Ultrasonography Radiography

收稿日期: 2017-01-24

PACS:	Ｒ657.1
	Ｒ681.6
	Ｒ445.1
	Ｒ814.41

通讯作者: 王学梅，中国医科大学附属第一医院超声科，110001。E-mail：wxmlmt@163.com

作者简介: 李雪（1982-），女，黑龙江加格达奇人，主治医师。E-mail：snow-8921@163.com

引用本文:

李雪1，王学梅2，姜镔2. 经会阴超声与X线排粪造影对直肠前突与盆底失弛缓综合征诊断价值的比较研究[J]. 中国临床医学影像杂志, 2017, 28(11): 817-821.
LI Xue1, WANG Xue-mei2, JIANG Bin2. Comparative study of perineal ultrasound and X-ray defecography in diagnosing rectocele and pelvic floor achalasia syndrome. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(11): 817-821.

链接本文:

http://www.jccmi.com.cn/CN/ 或 http://www.jccmi.com.cn/CN/Y2017/V28/I11/817

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