Clinical Application of Defecography in Patients with Difficult Defecation

排便攝影在排便困難病人臨床上的應用

蔡孟峰(Meng-Feng Tsai) ； 陳自諒(William Tzu-Liang Chen) ； 黃燈明(Ting-Ming Huang) ； 陳宏彰(Hong-Chang Chen) ； 蕭光宏(Koung-Hong Hsiao) ； 尤昭傑(Jau-Jie You) ； 林倉祺(Tseng-Chi Lin) ； 柯道維(Tao-Wei Ke) ； 黃玄遠(Shuan-Yuan Huang) ； 林永春(Julius Ting)

《中華民國大腸直腸外科醫學會雜誌》 17卷4期 (2006/12) Pp. 103-109

https://doi.org/10.6312/SCRSTW.2006.17(4).09516

並列摘要

Purpose. Because patients with difficult defecation have overlapping symptoms, selecting appropriate therapy on the basis of clinical history and findings from routine examination is challenging. The purpose of this study was to use defecography to evaluate anatomic abnormalities in patients with difficult evacuation.Methods. Between May and December 2004, we enrolled 57 patients with difficult defecation. These patients underwent radiography at rest, during squeezing and straining and after defecation. The entire process of evacuation was assessed with fluoroscopy. Anatomic abnormalities were recorded.Results. There were 10 men with a mean age of 64.3 years (range, 44-85 years) and 47 women with a mean age of 49.9 years (range, 20-79 years). We found 37 anterior rectoceles, 10 posterior rectocele 28 sigmoidoceles, 18 mucosal prolapses, 14 intussusceptions, 9 rectal prolapses, 14 paradoxical puborectalis contractions, and 10 enteroceles.Conclusions. Defecography was a low invasive, safe, and simple procedure that enabled dynamic evaluation of anorectum and surrounding structures during defecation. It was an objective method for examining patients with complex subjective symptoms and allowed us to know the reason which might cause difficult evacuation and could aid in selecting optimal therapy.

並列關鍵字

Defecography ； Difficult evacuation ； Constipation