排便造影術之臨床應用

Clinical Application of Defecography

蘇崇凱(Chung-Kai Su) ； 陳信實(Sin-Sue Chen) ； 潘慧本(Huay-Ben Pan) ； 姜仁惠(Jen-Huey Chiang) ； 施丞貴(Chergn-Gucih Shy) ； 曾文盛(Wen-Sheng Tzeng) ； 林禎國(Jen-Gwo Lin) ； 林資琛(Tzy-Shen Lin) ； 張遵(Tsuen Chang)

《中華放射線醫學雜誌》 13卷4期 (1988/12) Pp. 371-377

摘要

排便造影術(defecography)是以糊狀之鋇劑灌入直腸，然後在放射線透視下觀察排便時直腸、肛門及骨盤底部肌肉的變化。此檢查使吾人瞭解其解剖學上的改變，並偵測出與排便有關的疾病，以為臨床治療的方針。
榮民總醫院放射線部在民國77年1月至77年6月止共有16例因排便問題的病人轉介做此檢查，其中直腸內腸套疊有2例，骨盤底痙攣症候群有5例，直腸垂脫有4例，直腸膨出有2例。本文提出個別疾病的排便造影表現以供參考。

關鍵字

排便造影術 ； 便秘

並列摘要

Defecography is performed by fluoroscopic study of the pelvic floor and ano-rectal region during defecation after injection of plasty barium into the rectum. This radiological examination provides imaging of anatomical changes of ano-rectal region and pelvic floor. It also provides clues for diagnosis of some pathology related to defecation and guides for clinical management.
From Jan. 1988 till June 1988, sixteen cases with problems of defecation was refcrred to our department for defecography, two with internal intussusception of the rectum, five with spastic pelvic floor syndrome, four with rectal prolapse and two with rectocele. The clinical manifestations and radiologic pictures of these disorders were presented. The pathogenesis and the literatures were brief reviewed.

並列關鍵字

defecography ； constipation