Lienemann A
Institut für Diagnostische Radiologie, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
Zentralbl Chir. 1999;124(9):768-74.
The aim of this review article is to present the role and extent of gastrointestinal radiology in adults with chronic obstipation and stool outlet obstruction. The radiological investigations are well established second-line diagnostic procedures. Special attention is given to the indications as well as to the imaging techniques which include barium enema, measurement of colon transit time and dynamic colpocystorectoviscerography. New emerging modalities such as functional MR Imaging provide an objective, unifying diagnostic approach to the pelvic floor and the colon. This will contribute to an improved perception of the composite entity of the pelvic floor and of the interactions of its adjacent structures. Consequently the longstanding "compartmentalization" practiced by the different medical specialties might be avoided in the future.
这篇综述文章的目的是阐述胃肠道放射学在成人慢性便秘和排便出口梗阻中的作用及范围。放射学检查是成熟的二线诊断程序。文中特别关注了包括钡灌肠、结肠传输时间测量和动态阴道膀胱直肠造影术在内的检查适应症及成像技术。诸如功能磁共振成像等新兴模式为盆底和结肠提供了一种客观、统一的诊断方法。这将有助于更好地认识盆底这个复合结构及其相邻结构之间的相互作用。因此，不同医学专科长期以来实行的“分隔”做法未来可能会被避免。
