超声检查在测定便秘及非便秘儿童直肠直径和直肠壁厚度中的应用：一项病例对照研究
ULTRASONOGRAPHY IN DETERMINING THE RECTAL DIAMETER AND RECTAL WALL THICKNESS IN CHILDREN WITH AND WITHOUT CONSTIPATION: A CASE-CONTROL STUDY.
作者信息
Momeni Mohammad, Momen-Gharibvand Mohammad, Kulouee Niloofar, Javaherizadeh Hazhir
机构信息
Department of Radiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Alimentary Tract Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
出版信息
Arq Gastroenterol. 2019 May 20;56(1):84-87. doi: 10.1590/S0004-2803.201900000-19.
BACKGROUND
Ultrasonography has shown to be useful in the diagnosis of constipation.
OBJECTIVE
The aim of this study was to compare the rectal diameter and rectal wall thickness in children with and without constipation.
METHODS
Children with the diagnosis of constipation according to Rome III criteria were included in the study. The children underwent transabdominal sonography for the evaluation of rectal diameter and rectal wall thickness. Ultrasonography was performed with a full bladder. Children without constipation who underwent abdominal sonography were assigned to the control group.
RESULTS
The rectal diameter was larger in children with constipation than in children without constipation (31.72±9.63 mm vs 19.85±4.37 mm; P=0.001). The rectal wall was thinner in children with constipation than in children without constipation (1.75±0.33 mm vs 1.90±0.22 mm; P=0.032). There was no significant difference between boys and girls with constipation in terms of rectal diameter (31.02±8.57 mm 32.77±11.35 mm; P=0.63).
CONCLUSION
Transabdominal rectal diameter measurement may be useful in the diagnosis of constipation.
背景
超声检查已被证明在便秘诊断中有用。
目的
本研究旨在比较便秘儿童与非便秘儿童的直肠直径和直肠壁厚度。
方法
根据罗马III标准诊断为便秘的儿童纳入本研究。这些儿童接受经腹超声检查以评估直肠直径和直肠壁厚度。超声检查时膀胱需充盈。接受腹部超声检查的非便秘儿童被分配到对照组。
结果
便秘儿童的直肠直径大于非便秘儿童（31.72±9.63毫米对19.85±4.37毫米；P = 0.001）。便秘儿童的直肠壁比非便秘儿童薄（1.75±0.33毫米对1.90±0.22毫米；P = 0.032）。便秘男孩和女孩在直肠直径方面无显著差异（31.02±8.57毫米对32.77±11.35毫米；P = 0.63）。
结论
经腹直肠直径测量可能对便秘诊断有用。
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