从结构和功能角度来看,阻塞性排便的特征.
Lluís Mundet1, Alba Raventós2, Sílvia Carrión2
1Gastrointestinal Motility Unit, Hospital de Mataró, Consorci Sanitari del Maresme, Mataró, Catalonia, Spain; Centro de Investigación Biomédica en Red de enfermedades hepáticas y digestivas (CIBERehd), Instituto de Salud Carlos III, Spain.
概括
结构性排便障碍 (SDD) 在具有阻塞性排便 (OD) 的中年女性中非常普遍. 功能性排便障碍 (FDD) 也有显著的贡献,通常与SDD并存,并影响直肠排空.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 盆地底疾病 盆地底疾病
背景情况:
- 排便障碍源于直肠功能障碍.
- 阻塞性排便 (OD) 呈现出临床投诉.
- 了解结构性 (SDD) 与功能性 (FDD) 排便障碍至关重要.
研究的目的:
- 在OD患者中评估SDD与FDD的患病率.
- 检查排便障碍与排泄能力之间的关系.
- 确定OD患者的人口统计和临床特征.
主要方法:
- 对588名OD患者 (2012-2020年) 的回顾性研究.
- 用于所有患者的疏散排泄 (ED).
- 在294名患者的小组中采用了直肠测量法 (ARM).
主要成果:
- 发现SDD的高患病率 (83.7%),特别是在女性中.
- 功能性缺陷包括缺失直肠角整形 (51%) 和异能排便 (89.9%).
- 在66.2%的SDD,71.3%的FDD和78%的综合病例中出现了受损的直肠排空.
结论:
- 在中年女性中,SDD的流行率很高.
- FDD和SDD经常并存,两者都会影响直肠排空.
- 建议采取逐步的方法,优先考虑FDD治疗.
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