在男性中级/高类型直肠形症中诊断直肠扩张的直肠神经指数:一项回顾性队列研究
Siqi Li1, Hang Xu2, Meng Wang2
1Department of Pediatric Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, 102218, China.
Pediatric surgery international
|February 26, 2026
概括
在直肠形 (ARMs) 中,直肠扩张与特定的管类型和更长的管长度有关. 2.34以上的直 sacral 指数 (RSI) 可以在手术前可靠地识别这种情况.
科学领域:
- 儿科手术 儿科手术
- 放射学 放射学是指放射学
- 直肠异常变形 直肠异常变形
背景情况:
- 直肠扩张是患有无直肠形 (ARM) 患者的常见并发症,通常导致术后排便功能障碍.
- 在ARM中直肠扩张的诊断标准和风险因素仍未得到充分研究,这凸显了客观评估方法的需要.
研究的目的:
- 调查与中型/高型ARM男性患者直肠扩张相关的诊断标准和风险因素.
- 引入和验证直肠神经指数 (RSI) 作为基于成像的工具,用于术前识别直肠扩张.
主要方法:
- 一项对100名中型/高型ARM男性患者的回顾性研究,这些患者在手术前接受了高压远端结肠图 (HPC).
- 垂直神经指数 (RSI) 的发展和测量:最大直肠囊径除以第二个神经脊椎高度.
- 人口和相关因素的比较,以及ROC曲线分析,以确定诊断直肠扩张的最佳RSI切线.
主要成果:
- 直肠扩张和RSI与ARM类型有显著的差异,在直肠和直前列腺中最高.
- 较高的RSI与尿道中缺乏美和更长的片长度相关.
- 在扩张组 (2.54 ± 0.09) 与非扩张组 (1.89 ± 0.05) 相比,RSI显著更大. 在ROC分析中发现,用于诊断直肠扩张的RSI切线>2.34 (AUC=0.841).
结论:
- 排卵管/前列腺,更长的以及尿道中缺乏是男性ARM患者直肠扩张的潜在危险因素.
- 直肠神经指数 (RSI) >2.34为手术前检测直肠扩张提供了可靠和客观的成像标准.
- 这项研究确立了RSI作为ARM手术规划和管理的宝贵工具.
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