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目的:探讨动态仿真直肠排粪造影在诊断盆底痉挛综合征中的应用价值。方法:回顾性选择2014年7月至2016年3月在我院确诊的38例盆底痉挛综合征患者为研究对象,随机分为研究组和对照组,采用全功能数字胃肠机测量患者静息状态下和力排状态下的肛直角,并计算肛直角差。采用t检验进行分析。结果:研究组患者9例合并直肠前突和粘膜脱垂,3例合并直肠前突和内脏下垂,1例合并直肠前突和结肠疝,对照组患者4例合并直肠前突和粘膜脱垂,1例合并直肠前突和内脏下垂,1例合并直肠前突和结肠疝,两组患者的合并症检出率比较,差异有统计学意义(P<0.05)。研究组患者的静息状态下肛直角(103.46±8.15)和力排状态下肛直角(93.12±7.51)明显低于对照组(117.62±11.37)、(135.14±12.13),且研究组的肛直角差(10.34±7.25)明显低于对照组(17.52±9.14),差异有统计学意义(P<0.01)。结论:动态仿真直肠排粪造影动态观察盆底形态的变化,可为盆底痉挛综合征诊断提供可靠依据。
Objective: To investigate the value of dynamic simulation of rectal defecography in the diagnosis of pelvic spastic syndrome. Methods: Thirty-eight patients with pelvic spastic syndrome diagnosed in our hospital from July 2014 to March 2016 were retrospectively selected and divided into the study group and the control group randomly. The full-function digital gastrointestinal machine was used to measure the patients’ Anamorphic state and force row under the state of the anal angle, and calculate the anal angle difference. T test was used for analysis. Results: In study group, 9 patients had rectocele and mucosal prolapse, 3 patients had rectocele and visceral ptosis, 1 patient had rectocele and colon hernia, 4 patients in control group had rectocele and mucosal prolapse, One case had rectocele and visceral ptosis, and one case had rectocele and colonic hernia. There was a significant difference in the rate of comorbidity between the two groups (P <0.05). The anal angle (103.46 ± 8.15) and the anus right angle (93.12 ± 7.51) in the resting state of the study group were significantly lower than those of the control group (117.62 ± 11.37) and (135.14 ± 12.13), respectively, and the anal angle (10.34 ± 7.25) was significantly lower than the control group (17.52 ± 9.14), the difference was statistically significant (P <0.01). Conclusions: The dynamic observation of pelvic floor morphological changes by dynamic simulation of rectal defecography can provide a reliable basis for the diagnosis of pelvic spastic syndrome.