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排粪造影在慢性便秘病因评估中的重要性:对630例患者的分析

The importance of defecography in the assessment of the etiology of chronic constipation: An analysis of 630 patients.

作者信息

Bozkurt Mehmet Abdussamet, Kocataş Ali, Sürek Ahmet, Kankaya Burak, Kalaycı Mustafa U, Alış Halil

机构信息

Clinic of General Surgery, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

出版信息

Ulus Cerrahi Derg. 2014 Dec 1;30(4):183-5. doi: 10.5152/UCD.2014.2763. eCollection 2014.

DOI:10.5152/UCD.2014.2763
PMID:25931925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4379802/
Abstract

OBJECTIVE

Chronic constipation is an entity with a high prevalence in the community. In our study, we analyzed the importance of defecography in the assessment of the etiology of chronic constipation.

MATERIAL AND METHODS

Patients who were admitted to our hospital outpatient general surgery clinic with complaints of constipation between July 2010 and January 2014, and who had their demographic data and defecography results recorded were included in the study. The demographic data of patients who underwent defecography and their results were recorded along with patient gender and age.

RESULTS

The defecography was abnormal in 573 patients (90.9%) while it was normal in 57 patients (9.1%).

CONCLUSION

Defecography is the current standard method of examination in etiological investigations for constipation, and it should be performed in each patient with a diagnosis of chronic constipation.

摘要

目的

慢性便秘在社区中是一种高发性疾病。在我们的研究中,我们分析了排粪造影在评估慢性便秘病因方面的重要性。

材料与方法

纳入2010年7月至2014年1月期间因便秘主诉入住我院普通外科门诊的患者,记录其人口统计学数据和排粪造影结果。记录接受排粪造影患者的人口统计学数据及其结果,以及患者的性别和年龄。

结果

573例患者(90.9%)排粪造影异常,57例患者(9.1%)排粪造影正常。

结论

排粪造影是目前便秘病因调查的标准检查方法,每例诊断为慢性便秘的患者均应进行此项检查。

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本文引用的文献

1
In patients with rectoceles and obstructed defecation syndrome, surgery should be the option of last resort.对于直肠膨出合并排便障碍综合征的患者,手术应作为最后的选择。
Surgery. 2014 Apr;155(4):659-67. doi: 10.1016/j.surg.2013.11.013. Epub 2013 Dec 5.
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Three-dimensional high-resolution anorectal manometry and diagnosis of excessive perineal descent: a comparative pilot study with defaecography.三维高分辨率肛门直肠测压与会阴过度下降的诊断:与排粪造影的对比性初步研究
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Decreased enteric fatty acid amide hydrolase activity is associated with colonic inertia in slow transit constipation.肠道脂肪酸酰胺水解酶活性降低与慢传输型便秘中的结肠无力有关。
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Clinical examination remains more important than anorectal function tests to identify treatable conditions in women with constipation.对于识别便秘女性的可治疗病症,临床检查仍比肛门直肠功能测试更为重要。
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Overview of pelvic floor disorders.盆腔器官脱垂概述。
Surg Clin North Am. 2010 Feb;90(1):195-205, Table of Contents. doi: 10.1016/j.suc.2009.10.003.
8
Biofeedback benefits only patients with outlet dysfunction, not patients with isolated slow transit constipation.生物反馈仅对出口梗阻型患者有益,对单纯慢传输型便秘患者无效。
Gastroenterology. 2005 Jul;129(1):86-97. doi: 10.1053/j.gastro.2005.05.015.
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An evidence-based approach to the management of chronic constipation in North America.北美慢性便秘管理的循证方法。
Am J Gastroenterol. 2005;100 Suppl 1:S1-4. doi: 10.1111/j.1572-0241.2005.50613_1.x.
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Should patients with combined colonic inertia and nonrelaxing pelvic floor undergo subtotal colectomy?
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