대변 실금증 환자에서 배변조영술 소견
Defecographic Findings in Patients with Fecal Incontinence
박효진, 정준근, 지훈, 신재호, 이상인, 박인서,
소속 상세정보
박효진 ( Park Hyo-Jin )
연세대학교 의과대학 내과학교실
정준근 ( Jung Jun-Geon )
연세대학교 의과대학 내과학교실
지훈 ( Ji Hoon )
아주대학교 의과대학 방사선과학교실
신재호 ( Shin Jae-Ho )
연세대학교 의과대학 내과학교실
이상인 ( Lee Sang-In )
연세대학교 의과대학 내과학교실
박인서 ( Park In-Suh )
연세대학교 의과대학 내과학교실
KMID : 0356719970130040591
Abstract
We performed this study to investigate defecographic findings in patients with fecal incontinence and to compare these findings with age-matched asymptomatic controls. Twenty patients with fecal incontinence and 20 asymptomatic subjects were included. Videodefecography and pelvic electrophysiologic test were performed. There were no significant differences on the presence of rectal wall changes such as rectocele, mucosal prolapse, or incomplete evacuation, but intussusception was more common in patients group. The anorectal angle were 112.8±16.2°, 93.0±15.0°, 118.8±16.3° at resting, squeezing, and straining, respectively in controls, whereas 121.5±20.8°, 110.8±22.2°, 132.0±21.1°, respectively in patients group. There were significant differences of anorectal angle at squeezing and straining in patients group compared with controls(p< 0.05). Perineal descent was significantly decreased at squeezing in patients group
compared with controls(p<0.05). Anal canal width was signi(icantly widened in patients group compared with controls(p<0.05). There were no differences in various defecographic parameters depending on the presence of pudendal neuropathy. In conclusion, defecographic findings in fecal incontinence showed more obtuse anorectal angle, poorer perineal descent at squeezing, and widening of anal canal.
키워드
Defecography;Fecal Incontinence
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