临床外科杂志 ›› 2021, Vol. 29 ›› Issue (5): 434-436.doi: 10.3969/j.issn.1005-6483.2021.05.011

• • 上一篇    下一篇

钡餐滞留腹部拍片在慢传输及出口梗阻型便秘中的诊断价值

  

  1. 518033 广东省深圳市中医院肛肠科(吴喜华、魏志军、杜明国、王云、 廖颖婴);广州中医药大学第四临床医学院(李华娟、耿朋博)
  • 出版日期:2021-05-20 发布日期:2021-05-20
  • 基金资助:
    广东省中医药局科研项目(20191270)

Diagnostic value of gastrointestinal barium meal retention abdominal radiography in slow transit  and outlet obstruction constipation

  1. Department of Anorectal,Shenzhen Hospital of traditional Chinese Medicine,Guangdong,Shenzhen 518033,China
  • Online:2021-05-20 Published:2021-05-20

摘要: 目的  探讨钡餐滞留腹部拍片在慢传输及出口梗阻型便秘中的诊断价值和临床意义。
方法  回顾性分析95例克利夫兰(Wexner)便秘评分量表评为中、重度便秘病人的钡餐滞留腹部X线片影像资料。
结果  通过观察肠管钡剂滞留的时间及形态,发现91.6%以上的病人检查报告提示右半结肠活动正常或亢进,横结肠冗长。结肠脾曲、降结肠及其以远出现排空障碍,传输时间明显延长,伴有结肠黏膜皱襞缺失或僵硬。
结论  钡餐滞留腹部拍片在慢传输及出口梗阻型便秘中具有重要诊断价值,对临床针对病因治疗有重要的指导意义。

关键词: 钡餐滞留拍片, 慢传输型便秘, 出口梗阻型便秘

Abstract: Objective To investigate the diagnostic value and clinical significance of gastrointestinal barium meal retention abdominal radiography in slow transit and outlet obstructive constipation.
Methods The X-ray data of gastrointestinal barium meal retention abdomen in 95 patients with moderate and severe constipation rated by Cleveland constipation scale were analyzed retrospectively.
Results By observing the morphology of the intestine and the retention time of barium,it was found that more than 91.6% of the patients reported that the activity of the right colon was hyperactive or normal,the transverse colon was long,and the transit time of the descending colon and its distant emptying disorder was significantly prolonged.Accompanied by loss or stiffness of colonic bands and mucosal folds.
Conclusion Abdominal radiography of gastrointestinal barium meal retention has important diagnostic value in slow transit and outlet obstructive constipation,and has important guiding significance for clinical treatment of etiology.

Key words: gastrointestinal barium meal retention abdominal radiography, slow transit constipation, outlet obstruction constipation

[1] 钱群 江从庆. 出口梗阻型便秘的手术方式 [J]. 临床外科杂志, 2013, 21(4): 242-243.
[2] 朴大勋. 结肠次全切除术治疗慢传输型便秘 [J]. 临床外科杂志, 2013, 21(4): 246-247.
[3] 孙基伟 崔龙. 吻合器经肛门直肠切除术治疗出口梗阻型便秘 [J]. 临床外科杂志, 2013, 21(4): 248-249.
[4] 郭震 陈辉 刘韦成等. 腹腔镜手术与开腹手术治疗慢传输型便秘临床效果的Meta分析 [J]. 临床外科杂志, 2013, 21(4): 250-254.
[5] 付焱 李恒 代全武等. 腹腔镜下结肠旷置术治疗结肠慢传输型便秘的临床研究 [J]. 临床外科杂志, 2013, 21(4): 255-257.
[6] 杨拓耘 张新宇. 腹腔镜下全结肠切除术治疗顽固性结肠慢传输型便秘的临床疗效研究[J]. 临床外科杂志, 2011, 19(12): 818-818.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 许洪明, 雷晓梅, 胡敏. 改进经括约肌间瘘管结扎术治疗复杂性肛瘘的近期疗效及对肛门功能的影响[J]. 临床外科杂志, 2020, 28(1): 69 -72 .
[2] 周春根, 倪敏, 朱勇, 张睿, 黄小波, 张琪, 王领, 刘艳妮, 江滨. 肛瘘微创治疗的研究进展[J]. 临床外科杂志, 2020, 28(2): 190 -192 .
[3] 宋洋 张恩刚 蔡廷江 王栋 郝小可. 数字成型钛网早期修补对颅骨缺损术后康复及美学效果的影响[J]. 临床外科杂志, 2021, 29(5): 485 -488 .