经肛门内镜显微手术的直肠造影及功能后果的前瞻性研究。

Prospective study of the proctographic and functional consequences of transanal endoscopic microsurgery.

作者信息

Banerjee A K, Jehle E C, Kreis M E, Schott U G, Claussen C D, Becker H D, Starlinger M, Buess G F

机构信息

Department of Surgery, University Hospital, Eberhard-Karls University, Tubingen, Germany.

出版信息

Br J Surg. 1996 Feb;83(2):211-3.

PMID:8689165

Abstract

A prospective study of clinical, manometric and proctographic results in 36 patients presenting for transanal endoscopic microsurgery was performed. Anorectal manometry showed no difference in maximal squeeze pressure before and 12 months after operation, but resting pressures were lower after surgery (mean(s.e.m.) preoperative 86.1(27.6) mmHg versus postoperative 67.2(23.2) mmHg, P < 0.05). The rectoanal inhibitory reflex was lost in a significant group of patients (reflex present in 34 of 36 patients before operation and in 27 of 36 12 months after operation, P < 0.05). Proctography, manometry and questionnaire showed preserved function of most modalities 12 months after operation such that if objective function was impaired clinical function was adequate.

摘要

对36例接受经肛门内镜显微手术的患者进行了临床、测压和直肠造影结果的前瞻性研究。肛门直肠测压显示，术前和术后12个月的最大收缩压无差异，但术后静息压较低（术前平均（标准误）86.1（27.6）mmHg，术后为67.2（23.2）mmHg，P<0.05）。相当一部分患者的直肠肛门抑制反射消失（术前36例中有34例存在反射，术后12个月36例中有27例存在反射，P<0.05）。直肠造影、测压和问卷调查显示，术后12个月大多数功能模式保持良好，即如果客观功能受损，临床功能仍足够。