直肠黏膜脱垂患者排粪造影的X线表现分级研究

Defecography in patients with prolapse of rectal mucosa lesions: degrees of imaging findings

摘要:
目的探讨X线排粪造影在诊断直肠黏膜脱垂病变中的影像学分级方法。
方法对38例通过X线排粪造影诊断为直肠黏膜脱垂的病例进行影像表现分析，并参考国内外学者的文献进行细化分级。
结果按照笔者研究的分级方法，38例直肠黏膜脱垂病例X线排粪造影诊断为1级的8例；2级27例，其中2a级15例，2b级12例；3级3例。部分患者同时合并直肠前突等其他征象。
结论直肠黏膜脱垂病变X线排粪造影的细化分级，可能有助于临床治疗方案的设计。

Abstract:
Objective To investigate the classification method of imaging using X-ray defecography in the diagnosis of the prolapse of rectal mucusa.
Methods 38 patients(25 females, 13 males; mean age 45 years)who were diagnosed as rectal prolapse by conventional defecography were collected and analyzed. Imagining findings were divided into different degrees according to the domestic and international scholar articles.
Results The rectocele imaging findings were divided into three degrees according to the clinical classification. First degree were diagnosed in 8 cases, second degree in 27 cases(2a degree 15 cases, 2b degree 12 cases), third degree in 3 cases. Some patients were complicated with rectocele and other signs.
Conclusion Detailed classification of prolapse of rectal mucosa lesions by X-ray defecography may contribute to the designs of clinical treatment.