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頁籤選單縮合
題 名 | The Use of the Tampon Test in Preoperative Assessment of Women with Rectocele=在患有直腸前突的女性病人,於術前使用陰道綿條測試評估術後成果 |
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作 者 | 張世昌; 沈明宏; 李興中; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 23:1 2012.03[民101.03] |
頁 次 | 頁1-5 |
分類號 | 416.245 |
關鍵詞 | 直腸前突; 便秘; 排便困難; 排便攝影; 陰道綿條測試; Rectocele; Constipation; Dyschezia; Defecography; Tampon test; |
語 文 | 英文(English) |
中文摘要 | 目的 這項研究是在評估術前使用陰道棉條測試是否可以用來預測經直腸修補直腸前突術後的成效。 病人與方法 從2004 年到2010 年在台北國泰綜合醫院,共有三十四位病人,年齡28至67 歲 (平均:54.1 歲),在接受經直腸修補直腸前突手術之前,先做陰道棉條測試。 結果 經過至少一年的追蹤發現:21 例 (61.8%) 有良好術後成果,11 例 (32.4%) 有較好術後的效果,2 例 (5.9%) 症狀未改善。在與病人的經期關係上,我們發現第一群的停經病人,皆有非常好的反應;但是第二群的未停經病人在排卵期,需要使用瀉劑來刺激腸道蠕動,才能達到好的反應。效果較差的第三群病人,她們的經期是延遲而且不規則的。 結論 在術前對於直腸前突的女性病人,94.1% 的病人使用陰道綿條測試,可以預測病人在接受經直腸做直腸前突修補手術後,是否能達到良好或是非常好的效果。在經期不規則的病人,即使術前通過陰道綿條測試,術後仍可能有較差的效果,這也表示這群術前陰道綿條測試陽性病人應避免建議做經直腸直腸前突修補手術。 |
英文摘要 | Purpose. This study was undertaken to investigate whether a tampon test, in preoperative assessment, could be used to predict the improvement in functional result after endorectal rectocele repair. Patients and Methods. Studies were carried out at Cathay General Hospital, Taipei, from 2004 to 2010. Thirty-four patients with positive tampon tests, age between 28 and 67 years (mean: 54.1), with specific defecation difficulties received endorectal rectocele repair. Results. After one year of follow up: 21 patients (61.8%) had excellent result; 11 patients (32.4%) had good result and 2 patients (5.9%) had poor result. After correlation to the patients menstrual status we found that group one with excellent result consisted of patients in their menopausal and perimenopausal status while group two patients with good result even though resorted to stimulant laxative to affect their bowel movement during their ovulation phase (premenstrual). Group three patients with poor response had irregular, often delay, menstrual cycle; menstrual flow were often scanty and prolonged. Conclusion. The use of the tampon test in preoperative assessment of women with rectocele can predict good to excellent response to endorectal rectocele repair in 94.1% of our patients. Poor response noted in patients with abnormal menstrual cycle and warrant guarded surgical outcome. |
本系統中英文摘要資訊取自各篇刊載內容。