高分辨率肛门直肠测压法——功能性肛门直肠疾病诊断评估的新见解
High-Resolution Anorectal Manometry - New Insights in the Diagnostic Assessment of Functional Anorectal Disorders.
作者信息
Heinrich Henriette, Misselwitz Benjamin
机构信息
Abdominal Center: Gastroenterology, St. Claraspital Basel, Basel, Switzerland.
Department of Gastroenterology and Hepatology, Universitätsspital Zürich, Zurich, Switzerland.
出版信息
Visc Med. 2018 Apr;34(2):134-139. doi: 10.1159/000488611. Epub 2018 Apr 20.
Abstract
Functional anorectal disorders such as faecal incontinence (FI), functional anorectal pain, and functional defecation disorders (FDD) are highly prevalent and represent a high socioeconomic burden. Several tests of anorectal function exist in this setting; however, high-resolution anorectal manometry (HR-ARM) is a new tool that depicts pressure all along the anal canal and can assess rectoanal coordination. HR-ARM is used in the diagnosis of FI and especially FDD although data in health is still sparse, and pressure phenomena seen during simulated defecation, such as dyssynergia, are highly prevalent in health.
摘要
功能性肛门直肠疾病，如大便失禁（FI）、功能性肛门直肠疼痛和功能性排便障碍（FDD）非常普遍，且具有很高的社会经济负担。在这种情况下有几种肛门直肠功能测试；然而，高分辨率肛门直肠测压法（HR-ARM）是一种新工具，它可以描绘肛管全程的压力，并能评估直肠肛门协调性。HR-ARM用于诊断FI，尤其是FDD，尽管关于健康人群的数据仍然很少，而且在模拟排便过程中出现的压力现象，如协同失调，在健康人群中也很常见。
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