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Kinetic changes of the anorectum before and after the anal fistula operation
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1671-0274.1999.04.010
- Key Word:
- 肛瘘;直肠肛管测压;手术
Abstract： 目的研究直肠肛门瘘手术前后肛肠动力学的变化.方法对37例肛瘘患者手术前后用直肠肛管测压法检测直肠肛门反射(RAR)、肛管最大收缩压(AMCP)、肛管最长收缩时间(ALCT)、直肠静息压(RRP)、肛管静息压(ARP)5项技术指标.对肛瘘手术前后及其低位、高位手术前后、低位与高位术后进行比较,并与30名正常人进行对比.结果术后RAR完全恢复并敏感率提高(P＜0.01),与正常人无差异(P＞0.05);AMCP与术前无差异(P＞0.05),比正常人明显降低(P＜0.01);ALCT与术前无差异(P＞0.05),比正常人延长(P＜0.05);RRP术后降低(P＜0.01),与正常人无差异(P＞0.05);ARP术后降低(P＜0.01),比正常人亦显著降低(P＜0.01).结论肛瘘疾病及肛管内外括约肌损伤的严重程度对肛门的闭紧功能产生直接影响,尤其是高位肛瘘可能引起部分患者的气体或液体失禁.
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