發(fā)布時(shí)間：2018-07-03 00:49

  本文選題：肛門(mén)閉鎖 + 肛管內(nèi)超聲��； 參考：《重慶醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的 通過(guò)肛管內(nèi)超聲（EUS）和肛直腸測(cè)壓檢查對(duì)肛門(mén)閉鎖術(shù)后肛門(mén)功能做客觀(guān)評(píng)價(jià)，并指導(dǎo)進(jìn)一步治療。 方法 對(duì)34例肛門(mén)閉鎖術(shù)后患兒分別采用EUS、肛直腸測(cè)壓測(cè)量肛管中位水平內(nèi)外括約肌厚度、肛周肌肉血供及彈性、肛門(mén)括約肌松弛反射情況，并結(jié)合臨床評(píng)分評(píng)價(jià)術(shù)后肛門(mén)功能。對(duì)Pe a術(shù)組、經(jīng)會(huì)陰肛門(mén)成形術(shù)組及對(duì)照組肛管中位水平內(nèi)外括約肌厚度行組間獨(dú)立樣本t檢驗(yàn)。 結(jié)果 （1）EUS測(cè)得肛門(mén)閉鎖術(shù)后患兒肛管中位水平肛門(mén)內(nèi)外括約肌厚度優(yōu)良率為100％，肛直腸測(cè)壓括約肌松弛反射引出的優(yōu)良率為91.2％，，均高于肛門(mén)功能臨床評(píng)分優(yōu)組70.6％，客觀(guān)指標(biāo)的恢復(fù)先于主觀(guān)指標(biāo)，可以通過(guò)參照客觀(guān)指標(biāo)，對(duì)主觀(guān)指標(biāo)恢復(fù)不滿(mǎn)意的患兒有針對(duì)性的行個(gè)體化功能鍛煉。 （2）Pe a術(shù)組測(cè)得肛門(mén)閉鎖術(shù)后患兒肛管中位水平內(nèi)外括約肌厚度分別為：1.42±0.22mm及3.21±0.25mm，經(jīng)會(huì)陰肛門(mén)成形術(shù)組為1.33±0.22mm及3.10±0.33mm，對(duì)照組肛管中位水平內(nèi)外括約肌厚度分別為1.21±.017mm及3.00±0.18mm，組間兩兩比較差異均無(wú)統(tǒng)計(jì)學(xué)意義。 （3）20例Pe a術(shù)后行EUS檢查，6例檢測(cè)到骶尾部肛周肌肉缺損。 結(jié)論 EUS及肛直腸測(cè)壓檢查可客觀(guān)評(píng)價(jià)先天性肛直腸畸形術(shù)后排便功能。
[Abstract]:Objective to evaluate the anal function after anal atresia by means of intraanal ultrasound (EUS) and anorectal manometry. Methods 34 children with anal atresia were treated with EUSand anorectal manometry to measure the internal and external sphincter thickness, the blood supply and elasticity of perianal muscle, and the relaxation reflex of anal sphincter. The anal function was evaluated with clinical score. The thickness of internal and external sphincter at the median level of anal canal in the perineum anoplasty group and the control group were examined by independent t-test. Results (1) the excellent and good rate of anal canal horizontal anal sphincter thickness was 100 in children after anal atresia, and the excellent and good rate of sphincter relaxation reflex in anorectal manometry was 91.2. The recovery of objective indexes was earlier than that of subjective indexes, and the objective indexes could be obtained by referring to objective indexes. (2) the median anal sphincter thickness of children after anal atresia was measured to be: 1. 42 鹵0.22mm and 3. 21 鹵0. 25 mm respectively, and the perineal anal thickness was 3. 21 鹵0. 25 mm in the perineum anus group. (2) the median anal sphincter thickness of the children after anus atresia was 1. 42 鹵0.22mm and 3. 21 鹵0. 25 mm respectively. The thickness of internal and external sphincter in the control group was 1.21 鹵.017mm and 3.00 鹵0.18mm, respectively. There was no significant difference between the two groups. (3) there was no significant difference between the two groups. (3) the sacrococcygeal perianal muscle defect was detected in 6 cases after Pe a operation in 20 cases. Conclusion EUS and anorectal manometry can objectively evaluate postoperative defecation function of congenital anorectal malformation.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R726.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

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2 吳彬;;肛管腔內(nèi)超聲對(duì)肛門(mén)括約肌的形態(tài)學(xué)觀(guān)察與評(píng)價(jià)[J];世界華人消化雜志;2010年28期

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