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頁籤選單縮合
題 名 | Postoperative MRI of Anorectal Malformation=直腸肛門畸形術後磁振影像 |
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作 者 | 李瑤華; 洪文宗; 陳秋江; 蘇誠道; 徐劍耀; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 96:3 1997.03[民86.03] |
頁 次 | 頁199-204 |
分類號 | 414.93、414.93 |
關鍵詞 | 直腸肛門畸形術; 磁振影像; Anorectal malformation; Magnetic resonance imaging; Fecal incontinence; Genitourinary tract anomalies; |
語 文 | 英文(English) |
英文摘要 | twenty-fiev patiens who had pull-through rectum (PTR) surgery, some of whom suffered from fecal incontinece, soiling or constipation were studied by magnetic resonance imaging (MRI) postoperatively. MRI demonstrated 14 patients with proper placement of the PTR between the puborectal muscle and external sphincter muscle;four patients with improper placement of the PTR outside the puborectalmuscle and external sphincter muscle (one with excess perirectal fat);one patient with disruption of the puborectal muscle and external sphincter muscle; three with asymmetric placement of PTR in the levator ani (one with excess perirectal fat).MRI also depicted seven patients with spine anomalies; five with tethered cord; and 10 with genitourinary tract anomalies. The patients with correct location of PTR all had good fecal continence except three patients (two with soiling and one with constipation) who had tethered cord and ganglion cell dysfunction at the PTR. The patients with improper placement of PTR or poorly developed pelvic muscles all had fecal incontinence. Our study emphasizes that MRI can depict the causes of postoperative incontinence, detect anomalies and help to plan further surgery. |
本系統中英文摘要資訊取自各篇刊載內容。