Falconio M A, Kokoszka J S, Prasad M L
Gastroenterol Nurs. 1992 Dec;15(3):110-3. doi: 10.1097/00001610-199212000-00006.
Anorectal manometry is used in the treatment of complex anorectal disorders, such as fecal incontinence and intractable constipation. In a 3-year period at one institution 308 anorectal manometries were performed. A total of 168 procedures were performed for complaints of fecal incontinence, 77 for constipation, and the remainder for a variety of anorectal disorders. Anorectal manometry in those under 20 years of age was performed most often to differentiate Hirschsprung disease from functional constipation, as well as to provide a differential diagnosis related to congenital anorectal anomalies. In patients between the ages of 21 and 40 years, evaluation of fecal incontinence (especially obstetrical injuries) was most significant. Fecal incontinence accounted for twice the number of anorectal manometries for those between the ages of 41 and 60. For those over 60 years of age, the majority of anorectal manometries were done for fecal incontinence rather than for constipation (nearly a 4:1 ratio). Anorectal manometry is a valuable physiologic adjunct in the evaluation, diagnosis, and treatment of organic and functional disorders of the anorectum.
肛门直肠测压法用于治疗复杂的肛门直肠疾病，如大便失禁和顽固性便秘。在某一机构的3年时间里，共进行了308次肛门直肠测压。其中，因大便失禁主诉进行的操作有168次，因便秘进行的有77次，其余则用于各种肛门直肠疾病。20岁以下人群进行肛门直肠测压最常见的目的是鉴别先天性巨结肠与功能性便秘，以及对先天性肛门直肠畸形进行鉴别诊断。在21至40岁的患者中，对大便失禁（尤其是产科损伤）的评估最为重要。41至60岁人群中，因大便失禁进行的肛门直肠测压次数是因便秘的两倍。对于60岁以上的人群，大多数肛门直肠测压是针对大便失禁而非便秘进行的（比例接近4:1）。肛门直肠测压在评估、诊断和治疗肛门直肠的器质性和功能性疾病方面是一种有价值的生理学辅助手段。
