肛腸測壓在直腸癌低位吻合術(shù)后肛門功能評價中的作用.pdf

1、山西醫(yī)科大學碩士學位論文肛腸測壓在直腸癌低位吻合術(shù)后肛門功能評價中的作用姓名：劉陶東申請學位級別：碩士專業(yè)：外科學指導(dǎo)教師：梁小波20050530山西醫(yī)科大學齲：b學位論文AnorectalmanometrytoevaluateanusfunctionsinrectalcancerafterlowanastomosisoperationAbstractobjective：Employmentofanorectalmanometrytoe

2、valuateanusfunctionsinrectalcancerafterlowanastomosisoperationMethods：ThirtypatientswithrectalcarcinomawhounderwentlowanteriorresectionwereenrolledinthestudyTherestingpressureofrectumandallUS，themaximalsqueezingpressureo

3、farias，therectalvolumeatsenorythreshold，themaximaltolerablevolumeofrectumandtherectalcompliance“qqereassessedwithanorectalmanometrybeforeandtwoweeksafteroperationInaddition，therectoanalinhibitoryreflexandthedistancebetwe

4、enanastomofic1evelanddentateIineweredeterminedTheftestwasusedtocomparepreoperativeandpostoperativedataThemultinomiallogisticregressionwasusedtoevaluatetherelativitybetweentheanUSfunctionsandpostoperativemanometryAPvalueo

5、flessthanO05WaSconsideredstatisticallysignificant(SPSS120forWindows、Results：Theanalrestingpressure(preoperativeandpostoperative，respectively：44331278mmHgVS28871250mmHg)decreasedsignificantlyafteroperation(P005)，themaxima

6、ltolerablevolumeoftherectal(106253087mlVS55832717m1)andtherectalcompliance(1365622ml／mmHgVS476208ml／mmHg)decreasedsignificantlyafteroperation(PO01)Therectalrestingpressure(652426mmHgVS905508mmHg)increasedsignificantlyaft

7、eroperation(_PO05)TherewasnosignificantchangeinthemaximalsqueezingpressureofanUS(128213104mmHgVS104933271mmHg)andtherectalvolumeatsenorythreshold(22711375mlVS1646840m1)(黔005)Theanalr出毽雕輟職andthedistancebetweenanastomoticl