通过肛门直肠测压法诊断先天性巨结肠症的问题。

Problems in diagnosis of Hirschsprung's disease by anorectal manometry.

作者信息

Yokoyama J, Kuroda T, Matsufugi H, Hirobe S, Hara S, Katsumata K

机构信息

Department of Pediatric Surgery, School of Medicine, Keio University, Tokyo, Japan.

出版信息

Prog Pediatr Surg. 1989;24:49-58. doi: 10.1007/978-3-642-74493-8_6.

DOI:10.1007/978-3-642-74493-8_6

PMID:2513612

Abstract

The purpose of this study is to analyze the results of anorectal manometry and to evaluate the merits and disadvantages of this technique for the diagnosis of Hirschsprung's disease. Studies were performed in 268 patients with constipation, including 95 cases of Hirschsprung's disease. It is concluded from the results that Hirschsprung's disease can be confidently diagnosed by manometric studies. If the studies are performed carefully with a suitable probe, reliability is over 95%. Manometry is the most useful method to differentiate Hirschsprung's disease from other conditions, such as extremely short segment aganglionosis, colonic stenosis, and idiopathic megacolon.

摘要

本研究的目的是分析肛门直肠测压的结果，并评估该技术在诊断先天性巨结肠症中的优缺点。对268例便秘患者进行了研究，其中包括95例先天性巨结肠症患者。结果表明，通过测压研究可以可靠地诊断先天性巨结肠症。如果使用合适的探头仔细进行研究，可靠性超过95%。测压是区分先天性巨结肠症与其他病症（如极短节段无神经节症、结肠狭窄和特发性巨结肠）最有用的方法。