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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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

Received: 24 January 2017

PACS:	Ｒ657.1
	Ｒ681.6
	Ｒ445.1
	Ｒ814.41

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	Articles by authors
	LI Xue1
	WANG Xue-mei2
	JIANG Bin2

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LI Xue1,WANG Xue-mei2,JIANG Bin2. Comparative study of perineal ultrasound and X-ray defecography in diagnosing rectocele and pelvic floor achalasia syndrome[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(11): 817-821.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2017/V28/I11/817

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