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目的探讨动态直肠排粪造影在盆底痉挛综合征中的应用价值。方法回顾性分析44例明确诊断为盆底痉挛综合征患者及22例排粪造影未见异常者的图像资料,测量静息状态下和力排时的肛直角并计算两组的肛直角差。统计学分析采用t检验。结果 21例盆底痉挛综合征患者合并有直肠前突、直肠粘膜脱垂等其他异常;盆底痉挛综合征组静息时和力排时肛直角及其差分别为(103.2±8.62)°、(92.8±7.38)°、(10.4±7.9)°;正常对照组分别为(117.4±12.7)°、(137.1±10.4)°、(19.7±12.4)°。两组肛直角差之间差异有统计学意义(P<0.01)。结论动态直肠排粪造影能为诊断盆底痉挛综合征提供可靠的依据。
Objective To investigate the value of dynamic rectal defecography in pelvic spastic syndrome. Methods Retrospective analysis of 44 cases of pelvic floor spasm syndrome and 22 patients without abnormal pelvic defecography image data were measured resting and force draining anus right angle and calculate the difference between the two groups of anal angle. Statistical analysis using t test. Results In 21 patients with pelvic spastic syndrome, there were other abnormalities such as rectocele and rectal mucosal prolapse. The ankle angle and its difference at rest and at power row in pelvic spastic syndrome group were (103.2 ± 8.62) °, (92.8 ± 7.38) ° and (10.4 ± 7.9) °, respectively. The normal control group was (117.4 ± 12.7) °, (137.1 ± 10.4) ° and (19.7 ± 12.4) °, respectively. There was a significant difference between the two groups in the anal angle difference (P <0.01). Conclusions Dynamic rectal defecography can provide a reliable basis for the diagnosis of pelvic spastic syndrome.