Đánh giá áp lực cơ thắt hậu môn, ngưỡng cảm nhận trực tràng và phản xạ rặn ở những bệnh nhân có rối loạn về đại tiện

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Minh Hue Luu Thi, Long Dao Van, Viet Hang Dao

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và Công nghệ Việt Nam - B, 2020

Mô tả vật lý: tr.20

Bộ sưu tập: Metadata

ID: 309156

Thêm vào giỏ Liên kết toàn văn

Mục tiêu của nghiên cứu là đánh giá áp lực cơ thắt hậu môn, các ngưỡng cảm nhận trực tràng và phản xạ rặn bằng kỹ thuật đo áp lực hậu môn - trực tràng độ phân giải cao (HRAM) trên những bệnh nhân có các rối loạn về đại tiện. Đối tượng và phương pháp: nghiên cứu hồi cứu trên 73 đối tượng ≥18 tuổi có rối loạn thói quen, phản xạ đại tiện, rối loạn tính chất phân được tiến hành kỹ thuật HRAM từ tháng 7/2018 đến tháng 7/2019. Kết quả: đối tượng nghiên cứu bao gồm 28 nam và 45 nữ, tuổi trung bình là 46,2±15,5. Các triệu chứng liên quan đến rối loạn thói quen đại tiện chiếm 74%, rối loạn tính chất phân chiếm 26%, són phân chiếm 9,6%. Áp lực cơ thắt hậu môn cả khi nghỉ cao hơn ở nam giới, và tương quan nghịch với tuổi. Không có sự khác biệt về các ngưỡng cảm nhận trực tràng giữa hai giới. 77,9% bệnh nhân có rối loạn đồng vận phản xạ rặn, trong đó phổ biến nhất là type I (45,6%). Không có sự khác biệt về các giá trị trên đo HRAM giữa hai nhóm có phản xạ rặn bình thường và rối loạn đồng vận. Kết luận: tuổi có liên quan đến áp lực cơ thắt hậu môn
rối loạn đồng vận phản xạ rặn có tỷ lệ cao, trong đó type I chiếm đa số.Objectives: to evaluate anal canal pressure, rectal sensation levels, and push maneuvers on high-resolution anorectal manometry (HRAM) in patients with defecation disorders. Methods: a retrospective study was conducted in 73 patients who were ≥18 years old, had bowel habit disorders, stool appearance changes, and performed HRAM from July 2018 to July 2019. Results: the study included 28 males and 45 females. The mean age was 46.2±15.5 (years old). The proportions of patients having symptoms related to bowel habit disorders, stool appearance changes and fecal incontinence were 74, 26 and 9.6%, respectively. Men had higher anal canal resting and squeeze pressure. There was no significant difference in rectal sensation levels between the two genders. 77.9% of patients had dyssynergic defecation, mostly type I (45.6%). The HRAM values were not different between the two groups (normal pushing maneuver and dyssynergic defecation). Conclusions: age relates to anal sphincter pressure. There is a high proportion of patients having dyssynergic defecation, in which type I is predominant.

1. Đọc trực tuyến

1. Đọc trực tuyến

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