与健康个体相比,用于诊断与中度直肠结合相关的阻塞性排便综合征的高分辨率直肠测量仪
Hong Zhi Geng1, Yi Zhang2, Chen Xu2
1Department of Anorectal Surgery, Hepu People's Hospital, Guangxi Zhuang Autonomous Region, 95 Dinghai North Road, Beihai City, 536100, China. 1944095885@qq.com.
三维高分辨率直肠测量 (3D HRAM) 显示了中度直肠 (MRW) 的女性受阻排便的诊断价值. 年龄,排便冲动和压力差异是关键指标,尽管3D HRAM不是黄金标准.
科学领域:
- 胃肠病学 胃肠病学
- 盆地底疾病 盆地底疾病
- 诊断成像 诊断成像 诊断成像
背景情况:
- 阻塞性排便综合征 (ODS) 与女性中度直肠 (MRW) 的研究不足,特别是与年龄相关的变化.
- 健康的女性个体 (HFI) 作为对照组进行比较.
- 三维高分辨率直肠测量 (3D HRAM) 是一个关键的诊断工具.
研究的目的:
- 与HFI相比,评估MRW患者中3DHRAM参数的临床诊断实用性.
- 评估年龄分层对MRW中3DHRAM发现的影响.
- 为了确定特定的3D HRAM参数,表明MRW.
主要方法:
- 一项前性非随机对照试验包括128名女性 (68名MRW,60名HFI).
- 患者分为多层次的年龄组:≥50岁和<50岁.
- 进行了3D HRAM来分析直肠功能.
主要成果:
- 年龄和直肠内抑制反射是MRW的独立因素.
- 3D HRAM参数在MRW中显示出更高的诊断价值,适用于年龄,排便冲动和直肠门压力差异.
- 接收器操作特征 (ROC) 曲线分析量化诊断准确性 (提供Youden指数值).
结论:
- 3D HRAM参数,包括年龄,排便冲动和直肠门压力差异,对于MRW具有诊断意义.
- 虽然有价值,3D HRAM不被认为是诊断MRW的黄金标准,因为它具有较低的Youden指数.
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