Dederding J P, Fouillet P, Berclaz R, Miazza B, Cunningham M, Mirescu D, de Peyer R, Loizeau E
Division de gastroentérologie et nutrition, Hôpital cantonal universitaire, Genève.
Schweiz Med Wochenschr. 1991 Feb 2;121(5):150-5.
Constipation and fecal incontinence are frequent motives of gastroenterological consultation. An etiological diagnosis can often be suspected from the history and can be confirmed by functional testing. We here report our experience with the measurement of colonic transit time (TTC), anorectal manometry (MAR) and defecography (D). Whilst TTC was unhelpful, MAR revealed abdomino-pelvic asynchrony (anismus) in 60 constipated patients and 7 (47%) of 15 incontinent patients. Perineal descent was suspected in 25 constipated patients and confirmed by defecography, which also revealed associated static pelvic disorders. Our experience confirms the role of functional exploration in the investigation of constipation and fecal incontinence and permits a more precise therapeutic approach.
便秘和大便失禁是胃肠病咨询的常见原因。病因诊断通常可从病史中怀疑，并可通过功能测试得到证实。我们在此报告我们在测量结肠运输时间（TTC）、肛门直肠测压（MAR）和排粪造影（D）方面的经验。虽然TTC没有帮助，但MAR在60例便秘患者和15例失禁患者中的7例（47%）中显示出腹盆腔不同步（失弛缓）。25例便秘患者怀疑有会阴下降，并通过排粪造影得到证实，排粪造影还显示了相关的静态盆腔疾病。我们的经验证实了功能探索在便秘和大便失禁调查中的作用，并允许采用更精确的治疗方法。
