[经肛门超声检查在大便失禁评估中的价值]

[Value of endoanal sonography in the assessment of faecal incontinence].

作者信息

Maier A, Fuchsjäger M, Alt J, Herbst F, Schima W, Lechner G

机构信息

Univ. Klinik f. Radiodiagnostik, Wien, Germany.

出版信息

Rofo. 2001 Dec;173(12):1104-8. doi: 10.1055/s-2001-18897.

DOI:10.1055/s-2001-18897

PMID:11740671

Abstract

PURPOSE

The aim of this study was to assess the value of endoanal ultrasound (EUS) in comparison to anal manometry and operative findings in patients suffering from faecal incontinence. Patient history, localisation of sphincter defects and therapeutic modalities were analysed.

METHODS

Over a 3-years period, 92 patients with faecal incontinence were investigated by endoanal ultrasound. Results were compared with anal manometry in 81 cases.

RESULTS

At EUS, 27 patients (29 %) showed no sphincter defect, 18 (20 %) had an isolated internal sphincter defect, 13 (14 %) an isolated defect of the external sphincter and 34 (37 %) presented with a combined internal/external sphincter defect. Manometry correlated in 30 % with endoanal ultrasound. Compared with surgery, endoanal ultrasound was correct in 100 % and manometry in only 54 %. An obstetric trauma was most frequently related to faecal incontinence.

CONCLUSION

Endoanal ultrasound is a very sensitive method for localizing anal sphincter defects and is mandatory in the assessment of patients with faecal incontinence.

摘要

目的

本研究旨在评估经肛门超声（EUS）与肛门测压及手术结果相比，在大便失禁患者中的价值。分析患者病史、括约肌缺陷定位及治疗方式。

方法

在3年期间，对92例大便失禁患者进行经肛门超声检查。81例患者的结果与肛门测压结果进行比较。

结果

经肛门超声检查时，27例患者（29%）未发现括约肌缺陷，18例（20%）存在孤立的内括约肌缺陷，13例（14%）存在孤立的外括约肌缺陷，34例（37%）表现为内外括约肌联合缺陷。测压与经肛门超声的相关性为30%。与手术相比，经肛门超声的准确率为100%，而测压仅为54%。产科创伤与大便失禁的相关性最为常见。