Kuijpers H C, Schreve R H, ten Cate Hoedemakers H
Dis Colon Rectum. 1986 Feb;29(2):126-9. doi: 10.1007/BF02555397.
The solitary rectal ulcer and colitis cystica profunda are different manifestations of the solitary rectal ulcer syndrome. The cause of solitary rectal ulcer syndrome remains unknown. Since defecation disorders are common among patients with solitary rectal ulcer syndrome, defecography is indicated. Defecography was performed on 19 patients with solitary rectal ulcer syndrome. In five patients, the spastic pelvic floor syndrome had occurred. Twelve patients had internal intussusception of the rectum, and one patient had an anterior rectal wall prolapse. In one patient, no abnormalities could be detected. These abnormalities led to severe straining, which can damage the anterior rectal wall. Findings strongly support the hypothesis that solitary rectal ulcers are traumatic lesions caused by straining. Defecography is a suitable procedure for detecting the causative disorder of defecation and for selecting patients for treatment.
孤立性直肠溃疡和深部囊性结肠炎是孤立性直肠溃疡综合征的不同表现形式。孤立性直肠溃疡综合征的病因尚不清楚。由于排便障碍在孤立性直肠溃疡综合征患者中很常见，因此需要进行排粪造影检查。对19例孤立性直肠溃疡综合征患者进行了排粪造影检查。其中5例患者出现了盆底痉挛综合征。12例患者发生了直肠内套叠，1例患者出现直肠前壁脱垂。1例患者未检测到异常。这些异常导致严重的用力排便，这可能会损伤直肠前壁。这些发现有力地支持了这样一种假说，即孤立性直肠溃疡是由用力排便引起的创伤性病变。排粪造影是检测排便病因性疾病和选择治疗患者的合适检查方法。
