Hou Shaofa,Ren Donghan,Xu Zhilin.Application advances of anorectal manometry for Hirschsprung’s disease and allied disorders[J].Journal of Clinical Pediatric Surgery,2022,21(11):1045-1048.[doi:10.3760/cma.j.cn101785-202002022-009]
肛门直肠测压在先天性巨结肠及巨结肠同源病中的应用进展
- Title:
- Application advances of anorectal manometry for Hirschsprung’s disease and allied disorders
- Keywords:
- Hirschsprung’s Disease; Manometry; Rectal Diseases; Anus Diseases/PP; Diagnosis; Pognosis
- 摘要:
- 肛门直肠测压（anorectal manometry，ARM）是一种非侵入式的利用压力检测装置对肛管直肠运动反射进行检测的临床检查。先天性巨结肠及巨结肠同源病在儿童中发病率高，临床上对于其诊断与治疗的讨论日益激烈。近年来ARM以创伤小、无辐射、快速便捷等优点被广泛用于先天性巨结肠及巨结肠同源病的诊治和研究中，但其诊断价值存在较大争议。本文阐述近年来ARM在先天性巨结肠及巨结肠同源病诊断与疗效评估中的应用进展，分析ARM的缺陷和不足，为ARM的临床研究提供新思路。
- Abstract:
- Anorectal manometry (ARM) is a non-invasive clinical tool of detecting anorectal rectal motion reflexes with a pressure detection device.It has been widely employed for diagnosing and treating Hirschsprung’s disease and allied disorders due to the advantages of mini-invasiveness, non-radioactivity, rapidness and convenience.However, its diagnostic value has remained controversial.This review summarized the application of ARM in recent years and discussed its shortcomings to help better diagnose the diseases, evaluate the prognosis, improve patient quality-of-life and provide new rationales for in-depth ARM researches.
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备注/Memo
收稿日期:2020-02-12。
基金项目:黑龙江省教育厅科学技术研究项目（12541401）
通讯作者:许芝林,Email:xzlin333@163.com