The Clinical Research Of The Colon Imaging Characteristics With Spleen Kidney Yang Deficiency Syndrome Of Chronic Functional Constipation

Objective:To observe colon imaging characteristics in patients with spleen deficiency syndrome of chronic functional constipation,and colonography transport function tests in the diagnosis of functional constipation.Method:The experimental group at one day prior to the examination at8:00at breakfast oral one capsule containing10on the1st markers and6grams of barium sulfate powder (watered50ml),at12:00at lunch oral one capsule containing10on the2st markers and6grams of barium sulfate powder (watered50ml),at18:00at dinner oral one capsule containing10on the3st markers and6grams of barium sulfate powder (watered50ml),2nd,3rd,4th day8:00to hospital radiology department and each abdominal plain film1pictures, usually take3ping tablets. If you have not discharge barium and markers after72hours, then continue to shoot a film at the same time every day, shot up to five films, observe discharge rate of markers, markers distribution rate in the intestine and the intestinal lumen morphology and caliber.The controlled group at one day prior to the examination at8:00oral one capsule containing20markers, thereafter every24hours shot one abdominal plain film, if not yet discharge marker after72hours, then continue to shoot a film at the same time every day, shot up to five films, observe discharge rate of markers, markers distribution rate in the intestine and the intestinal lumen morphology and caliber.Results:(1)44.4%in the experimental group appear transverse relaxation,33.3%appear descending colon relaxation,33.3%appear ascending colon spasm,33.3%appear descending colon spasms,44.4%appear sigmoid lengthy,33.3%appear descending colon length.(2)Ascending colon ministries diameter decrease from a-d intestine, transverse ministries luminal diameter decreases from e-f intestine, descending colon paragraphs no significant difference in the mean diameter of the intestine, colon ministries and rectum aperture size no obvious characteristic changes, ascending colon.transverse colon,descending colon,sigmoid colon mean diameter are3.591cm,3.048cm,2.634cm,3.117cm.The controlled group have not observe colon morphology and caliber.(3)Discharge rate with the1st markers of the experimental group and markers of the controlled group within72h are95.03%and94.32%respectively, no significant difference (P>0.05).(4)24h after the first experimental group radiography, three markers residual rates are64.4%,76.65%,84.74%, while the1st marker reaches the ileocecal,ascending colon, transverse colon, descending colon, sigmoid colon, respectively, the distribution rate are5.54%,21.08%,18.91%,17.76%,1.93%, the2nd marker reaches the ileocecal, ascending colon, transverse colon, descending colon distribution rates are14.74%,25.85%,18.23%,15.86%, the3rd marker reaches the ileocecal, ascending colon, transverse colon, descending colon distribution rate are23.72%,30.68%,17.63%,11.08%;48h after the second radiography, three markers residual rates are13.33%,17.67%,25.29%, the1st marker reaches the ascending colon, transverse colon, descending colon, sigmoid distribution rates are1.10%,4.43%,8.89%,4.45%, the2nd marker reaches the ascending colon, transverse colon, descending colon distribution rates are3.21%,8.55%,9.36%,7.45%, the3rd marker reaches the ascending colon, transverse colon, descending colon distribution rates are3.35%,9.93%,10.29%,8.68%;72h after the third times radiography, only a small part of the three markers remain in the sigmoid colon, distribution rates of the1st,2nd and3rd marker are4.97%,6.74%,9.28%specific distribution rate of markers can not be observed in the control group at the ileocecal, ascending colon, transverse colon, descending colon, sigmoid colon.Conclusion:Spleen deficiency syndrome of chronic functional constipation patients have the imaging features that colon intestine sag, loose,lengthy or spasm, and the caliber of the intestine from ascending colon to descending colonwas havr the trend to reduce. Colonography transport function examination,compared with colonic transit test, when reflect the function of colonic transit,can accurately determine the distribution of markers in the gut, and can simultaneously observe the shape of the colon, caliber, and the presence of narrow and cramps, can be used to diagnosis constipation and other functional disorders.