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目的 :评价结肠气钡双重造影同步排粪造影的可行性。方法 :自近两年需做钡灌肠检查加排粪造影检查的 10 8人次中随机抽取 42人实施结肠气钡双重造影同步排粪造影 ,并就各项指标进行对比检验。结果 :10 8例中男 2 2例 ,女 86例 ;年龄2～ 73(平均 42 .93)岁。同步造影 42例中男 10例 ,女 32例。分别检查组和同步造影组的七种常见疾病的阳性率分别为 :直肠前突 6 0 .6 1%和 6 1.90 % ;直肠黏膜税垂 72 .73%和 6 4.2 8% ;直肠黏膜套迭 46 .97和 35 .71% ;耻骨直肠肌综合症 ,2 7.2 8%和 37.10 % ;乙状结肠内疝 18.18%和 16 .6 7% ;盆底下降 2 2 .73%和 2 1.40 % ;骶直分离 12 .12 %和 7.14 % ;小肠疝 :0和 9% ;小肠下垂 :0和 7%。结论 :结肠气钡双重造影同步排粪造影与排粪造影比较排粪障碍病变的显示率大致相同。前者的优点是一次检查可了解结肠病变和排粪障碍病变
Objective: To evaluate the feasibility of concurrent bowel barium double contrast conception. Methods: 42 patients were randomly selected from 10 8 barium enema examination plus defecation contrast examination in the past two years to carry out synchronous defecography of colon-barium double contrast and contrast test on various indexes. Results: Among 108 cases, there were 22 males and 86 females, ranging in age from 2 to 73 (average 42.93 years). 42 cases of synchronous imaging in 10 males and 32 females. The positive rates of the seven common diseases in the examination group and the synchronous imaging group were respectively: the rectocele 60.1% and the femoral artery 61.9%, the rectal mucosa tax 72.33% and the femoral vein 6.22%, the rectal mucosa nested 46.97 and 35.71%; puborectalis syndrome, 7.28% and 37.10%; sigmoid colon hernia 18.18% and 16.7%; pelvic floor decreased 22.73% and 21.4%; sacral straight Isolated 12.12% and 7.14%; Small intestinal hernia: 0 and 9%; Small bowel ptosis: 0 and 7%. CONCLUSIONS: The rates of simultaneous defecography and defecography in defecation and bowel disease are much the same for both colon-barium double contrast biopsy. The former has the advantage of a check to understand colonic lesions and defecation disorders