Dynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasound

Detalhes bibliográficos
Autor(a) principal: Rosilma Gorete Lima Barreto
Data de Publicação: 2007
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFC
Texto Completo: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=1171
Resumo: Anismus is one of the most frequent disease in carrying patients of obstructed defecation and it is being present in about 50.0% of the constipated patients. The aim of this study is to demonstrate the use of the bi-dimensional anorectal ultrasound (2-D USD) for the diagnosis of anismus and comparing the results with the anus manometry and the three-dimensional anorectal ultrasound (3-D USD). Sixty adult women with obstructed defecation symptoms were evaluated in this prospective and comparative study, coming from Colorectal Unit of the Hospital UniversitÃrio Walter CantÃdio of the Universidade Federal do CearÃ, between September 2006 to March 2007. All the patients were initially submitted to anus manometry (BAD) and then divided in two groups with 30 patients each. Group I was formed by patients without anismus at the mean age of 48,63 (24 the 69) years, while group II with carrying patients with anismus at the mean age of 51,20 (27 the 78) years. After that, patients of both groups were submitted to the 3-D and 2-D USD by an examiner who was unaware of the results of the manometries. The average size of the gotten angle with the 3-D USD at rest position of group I was 87.28Â Â 0.80Â (76,5Â-96,2Â) and of 87.87Â Â 0.99Â (78,5Â-109,4Â) in group II. (p=0,3220). The average size of the angle during the evacuatory effort of group I was of 93.25Â Â 1.49Â (74,9Â-106,9Â) and of 85.27Â Â 1.35Â (72,0Â- 101,8Â) in group II, (p=0.007). The average size of the gotten angle with the USD 2-D at rest positions of group I was 62.61Â Â 1.15Â (50,9Â-75,0Â) and of 65.51Â Â 0.89Â (50,8Â-73,0Â) in group II (p=0,0257). The average size of the angle during the evacuating effort of group I was of 59.75Â Â 1.42Â (44,0Â-73,0Â) and of 69.40Â Â 1.06Â (52,6Â-79,5Â) in group II, (p< 0,001). Comparing the differences of the angles size at rest position and during evacuatory effort of the patients of group I with group II, using 2-D and 3-D USD, there was statistically significant difference (p< 0,0001). Comparing the results between the 2-D USD with the manometry, there was agreement in 86,67% and 83,33% of the patients of group I and group II respectivelly. Comparing the results between the 2-D and 3-D USD, there was agreement of 93,33% in the evaluation of the patients of group I and of 90,0% of the patients of group II. The agreement among the three methods was 86,67% as positive predictive value and 83.33% as negative predictive value. It is concluded that the use the 2-D USD was considered efficient in the diagnosis of anismus by the high indication of agreement among the three used methods
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spelling info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisDynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasoundUltra-som anorretal bi-dimensional dinÃmico no diagnÃstico de Anismus em mulheres adultas â estudo comparativo à manometria anal e ultra-som anorretal tri-dimensional dinÃmico 2007-07-30Sthela Maria Murad Regadas45285918391http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=K4180206Z9Lusmar Veras Rodrigues05910803387http://lattes.cnpq.br/8297021871089734Rodrigo Dornfeld Escalante6913465068727169162334http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=K4237592Z4Rosilma Gorete Lima BarretoUniversidade Federal do CearÃPrograma de PÃs-GraduaÃÃo em CirurgiaUFCBRManometria AnalAnismusUltra-sonografia AnorretalConstipaÃÃo IntestinalEvacuaÃÃo ObstruÃdaCanal AnalAnus Manometry Anismus Anus-rectal Ultrasound Constipation Obstructed Evacuation Anal CanalCIRURGIA PROCTOLOGICAAnismus is one of the most frequent disease in carrying patients of obstructed defecation and it is being present in about 50.0% of the constipated patients. The aim of this study is to demonstrate the use of the bi-dimensional anorectal ultrasound (2-D USD) for the diagnosis of anismus and comparing the results with the anus manometry and the three-dimensional anorectal ultrasound (3-D USD). Sixty adult women with obstructed defecation symptoms were evaluated in this prospective and comparative study, coming from Colorectal Unit of the Hospital UniversitÃrio Walter CantÃdio of the Universidade Federal do CearÃ, between September 2006 to March 2007. All the patients were initially submitted to anus manometry (BAD) and then divided in two groups with 30 patients each. Group I was formed by patients without anismus at the mean age of 48,63 (24 the 69) years, while group II with carrying patients with anismus at the mean age of 51,20 (27 the 78) years. After that, patients of both groups were submitted to the 3-D and 2-D USD by an examiner who was unaware of the results of the manometries. The average size of the gotten angle with the 3-D USD at rest position of group I was 87.28  0.80 (76,5Â-96,2Â) and of 87.87  0.99 (78,5Â-109,4Â) in group II. (p=0,3220). The average size of the angle during the evacuatory effort of group I was of 93.25  1.49 (74,9Â-106,9Â) and of 85.27  1.35 (72,0Â- 101,8Â) in group II, (p=0.007). The average size of the gotten angle with the USD 2-D at rest positions of group I was 62.61  1.15 (50,9Â-75,0Â) and of 65.51  0.89 (50,8Â-73,0Â) in group II (p=0,0257). The average size of the angle during the evacuating effort of group I was of 59.75  1.42 (44,0Â-73,0Â) and of 69.40  1.06 (52,6Â-79,5Â) in group II, (p< 0,001). Comparing the differences of the angles size at rest position and during evacuatory effort of the patients of group I with group II, using 2-D and 3-D USD, there was statistically significant difference (p< 0,0001). Comparing the results between the 2-D USD with the manometry, there was agreement in 86,67% and 83,33% of the patients of group I and group II respectivelly. Comparing the results between the 2-D and 3-D USD, there was agreement of 93,33% in the evaluation of the patients of group I and of 90,0% of the patients of group II. The agreement among the three methods was 86,67% as positive predictive value and 83.33% as negative predictive value. It is concluded that the use the 2-D USD was considered efficient in the diagnosis of anismus by the high indication of agreement among the three used methodsAnismus à uma das afecÃÃes mais freqÃentes em pacientes portadores de evacuaÃÃo obstruÃda, estando presente em cerca de 50.0% dos pacientes constipados. O objetivo deste trabalho à avaliar se o USD 2-D faz o diagnÃstico de anismus, quando comparado a manometria anal e ao USD 3-D. Foram avaliadas neste estudo prospectivo e comparativo 60 mulheres adultas com sintomas de evacuaÃÃo obstruÃda, provenientes do ServiÃo de Coloproctologia do Hospital UniversitÃrio Walter CantÃdio da Universidade Federal do CearÃ, no perÃodo entre setembro de 2006 a marÃo de 2007. Todas as pacientes foram inicialmente submetidas à manometria anal (MA) e, distribuidas em dois grupos com 30 pacientes cada. O grupo I foi constituÃdo por pacientes sem anismus e com mÃdia de idade 48,63 (24 a 69) anos, enquanto o grupo II com pacientes portadoras de anismus e com mÃdia de idade 51,20 (27 a 78) anos. Em seguida, as pacientes de ambos os grupos foram submetidas à USD 3-D E 2-D por um examinador que desconhecia o resultado da manometria. O tamanho mÃdio do Ãngulo obtido com o USD 3-D no repouso do grupo I foi 87.28  0.80 (76,5Â-96,2Â) e de 87.87  0.99 (78,5Â-109,4Â) no grupo II. (p=0,3220). O tamanho mÃdio do Ãngulo no esforÃo evacuatÃrio do grupo I foi de 93.25  1.49Â(74,9Â-106,9Â) e de 85.27  1.35Â(72,0Â-101,8Â) no grupo II, (p=0.007). O tamanho mÃdio do Ãngulo obtido com a USD 2-D no repouso do grupo I foi 62.61  1.15Â(50,9Â-75,0Â) e de 65.51  0.89Â(50,8Â-73,0Â) no grupo II (p=0,0257). O tamanho mÃdio do Ãngulo no esforÃo evacuatÃrio do grupo I foi de 59.75  1.42Â(44,0Â-73,0Â) e de 69.40  1.06Â(52,6Â-79,5Â) no grupo II, (p<0.001). Comparando a diferenÃa do tamanho dos Ãngulos no repouso e no esforÃo evacuatÃrio dos pacientes do grupo I com o grupo II, ao USD 2-D e 3-D, foi observado diferenÃa estatisticamente significante (p< 0,0001). Comparando os resultados obtidos ao USD 2-D com a manometria, houve concordÃncia em 86,67% das pacientes de ambos os grupos. Comparando os resultados obtidos entre o USD 2-D com o 3-D, houve concordÃncia de 93,33% na avaliaÃÃo das pacientes do grupo I e de 90,0% das pacientes do grupo II.A concordÃncia entre os trÃs mÃtodos foi de 86,67% como valor preditivo positivo e 83,33% como valor preditivo negativo. Conclui-se que a o USD 2-D foi eficaz em averiguar o diagnÃstico do anismus pelo elevado Ãndice de concordÃncia entre os trÃs mÃtodos utilizadosCoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superiorhttp://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=1171application/pdfinfo:eu-repo/semantics/openAccessporreponame:Biblioteca Digital de Teses e Dissertações da UFCinstname:Universidade Federal do Cearáinstacron:UFC2019-01-21T11:14:03Zmail@mail.com -
dc.title..fl_str_mv Dynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasound
dc.title.alternative.pt.fl_str_mv Ultra-som anorretal bi-dimensional dinÃmico no diagnÃstico de Anismus em mulheres adultas â estudo comparativo à manometria anal e ultra-som anorretal tri-dimensional dinÃmico
title Dynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasound
spellingShingle Dynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasound
Rosilma Gorete Lima Barreto
Manometria Anal
Anismus
Ultra-sonografia Anorretal
ConstipaÃÃo Intestinal
EvacuaÃÃo ObstruÃda
Canal Anal
Anus Manometry
Anismus
Anus-rectal Ultrasound
Constipation
Obstructed Evacuation
Anal Canal
CIRURGIA PROCTOLOGICA
title_short Dynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasound
title_full Dynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasound
title_fullStr Dynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasound
title_full_unstemmed Dynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasound
title_sort Dynamic two-dimensional anorretal ultrasound in the diagnosis of Anismus in adult women - comparative study to the anal manometria and dynamic three-dimensional anorretal ultrasound
author Rosilma Gorete Lima Barreto
author_facet Rosilma Gorete Lima Barreto
author_role author
dc.contributor.advisor1.fl_str_mv Sthela Maria Murad Regadas
dc.contributor.advisor1ID.fl_str_mv 45285918391
dc.contributor.advisor1Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=K4180206Z9
dc.contributor.referee1.fl_str_mv Lusmar Veras Rodrigues
dc.contributor.referee1ID.fl_str_mv 05910803387
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/8297021871089734
dc.contributor.referee2.fl_str_mv Rodrigo Dornfeld Escalante
dc.contributor.referee2ID.fl_str_mv 69134650687
dc.contributor.authorID.fl_str_mv 27169162334
dc.contributor.authorLattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=K4237592Z4
dc.contributor.author.fl_str_mv Rosilma Gorete Lima Barreto
contributor_str_mv Sthela Maria Murad Regadas
Lusmar Veras Rodrigues
Rodrigo Dornfeld Escalante
dc.subject.por.fl_str_mv Manometria Anal
Anismus
Ultra-sonografia Anorretal
ConstipaÃÃo Intestinal
EvacuaÃÃo ObstruÃda
Canal Anal
Anus Manometry
Anismus
Anus-rectal Ultrasound
Constipation
Obstructed Evacuation
Anal Canal
topic Manometria Anal
Anismus
Ultra-sonografia Anorretal
ConstipaÃÃo Intestinal
EvacuaÃÃo ObstruÃda
Canal Anal
Anus Manometry
Anismus
Anus-rectal Ultrasound
Constipation
Obstructed Evacuation
Anal Canal
CIRURGIA PROCTOLOGICA
dc.subject.cnpq.fl_str_mv CIRURGIA PROCTOLOGICA
dc.description.sponsorship.fl_txt_mv CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
dc.description.abstract..fl_txt_mv Anismus is one of the most frequent disease in carrying patients of obstructed defecation and it is being present in about 50.0% of the constipated patients. The aim of this study is to demonstrate the use of the bi-dimensional anorectal ultrasound (2-D USD) for the diagnosis of anismus and comparing the results with the anus manometry and the three-dimensional anorectal ultrasound (3-D USD). Sixty adult women with obstructed defecation symptoms were evaluated in this prospective and comparative study, coming from Colorectal Unit of the Hospital UniversitÃrio Walter CantÃdio of the Universidade Federal do CearÃ, between September 2006 to March 2007. All the patients were initially submitted to anus manometry (BAD) and then divided in two groups with 30 patients each. Group I was formed by patients without anismus at the mean age of 48,63 (24 the 69) years, while group II with carrying patients with anismus at the mean age of 51,20 (27 the 78) years. After that, patients of both groups were submitted to the 3-D and 2-D USD by an examiner who was unaware of the results of the manometries. The average size of the gotten angle with the 3-D USD at rest position of group I was 87.28Â Â 0.80Â (76,5Â-96,2Â) and of 87.87Â Â 0.99Â (78,5Â-109,4Â) in group II. (p=0,3220). The average size of the angle during the evacuatory effort of group I was of 93.25Â Â 1.49Â (74,9Â-106,9Â) and of 85.27Â Â 1.35Â (72,0Â- 101,8Â) in group II, (p=0.007). The average size of the gotten angle with the USD 2-D at rest positions of group I was 62.61Â Â 1.15Â (50,9Â-75,0Â) and of 65.51Â Â 0.89Â (50,8Â-73,0Â) in group II (p=0,0257). The average size of the angle during the evacuating effort of group I was of 59.75Â Â 1.42Â (44,0Â-73,0Â) and of 69.40Â Â 1.06Â (52,6Â-79,5Â) in group II, (p< 0,001). Comparing the differences of the angles size at rest position and during evacuatory effort of the patients of group I with group II, using 2-D and 3-D USD, there was statistically significant difference (p< 0,0001). Comparing the results between the 2-D USD with the manometry, there was agreement in 86,67% and 83,33% of the patients of group I and group II respectivelly. Comparing the results between the 2-D and 3-D USD, there was agreement of 93,33% in the evaluation of the patients of group I and of 90,0% of the patients of group II. The agreement among the three methods was 86,67% as positive predictive value and 83.33% as negative predictive value. It is concluded that the use the 2-D USD was considered efficient in the diagnosis of anismus by the high indication of agreement among the three used methods
dc.description.abstract.por.fl_txt_mv Anismus à uma das afecÃÃes mais freqÃentes em pacientes portadores de evacuaÃÃo obstruÃda, estando presente em cerca de 50.0% dos pacientes constipados. O objetivo deste trabalho à avaliar se o USD 2-D faz o diagnÃstico de anismus, quando comparado a manometria anal e ao USD 3-D. Foram avaliadas neste estudo prospectivo e comparativo 60 mulheres adultas com sintomas de evacuaÃÃo obstruÃda, provenientes do ServiÃo de Coloproctologia do Hospital UniversitÃrio Walter CantÃdio da Universidade Federal do CearÃ, no perÃodo entre setembro de 2006 a marÃo de 2007. Todas as pacientes foram inicialmente submetidas à manometria anal (MA) e, distribuidas em dois grupos com 30 pacientes cada. O grupo I foi constituÃdo por pacientes sem anismus e com mÃdia de idade 48,63 (24 a 69) anos, enquanto o grupo II com pacientes portadoras de anismus e com mÃdia de idade 51,20 (27 a 78) anos. Em seguida, as pacientes de ambos os grupos foram submetidas à USD 3-D E 2-D por um examinador que desconhecia o resultado da manometria. O tamanho mÃdio do Ãngulo obtido com o USD 3-D no repouso do grupo I foi 87.28  0.80 (76,5Â-96,2Â) e de 87.87  0.99 (78,5Â-109,4Â) no grupo II. (p=0,3220). O tamanho mÃdio do Ãngulo no esforÃo evacuatÃrio do grupo I foi de 93.25  1.49Â(74,9Â-106,9Â) e de 85.27  1.35Â(72,0Â-101,8Â) no grupo II, (p=0.007). O tamanho mÃdio do Ãngulo obtido com a USD 2-D no repouso do grupo I foi 62.61  1.15Â(50,9Â-75,0Â) e de 65.51  0.89Â(50,8Â-73,0Â) no grupo II (p=0,0257). O tamanho mÃdio do Ãngulo no esforÃo evacuatÃrio do grupo I foi de 59.75  1.42Â(44,0Â-73,0Â) e de 69.40  1.06Â(52,6Â-79,5Â) no grupo II, (p<0.001). Comparando a diferenÃa do tamanho dos Ãngulos no repouso e no esforÃo evacuatÃrio dos pacientes do grupo I com o grupo II, ao USD 2-D e 3-D, foi observado diferenÃa estatisticamente significante (p< 0,0001). Comparando os resultados obtidos ao USD 2-D com a manometria, houve concordÃncia em 86,67% das pacientes de ambos os grupos. Comparando os resultados obtidos entre o USD 2-D com o 3-D, houve concordÃncia de 93,33% na avaliaÃÃo das pacientes do grupo I e de 90,0% das pacientes do grupo II.A concordÃncia entre os trÃs mÃtodos foi de 86,67% como valor preditivo positivo e 83,33% como valor preditivo negativo. Conclui-se que a o USD 2-D foi eficaz em averiguar o diagnÃstico do anismus pelo elevado Ãndice de concordÃncia entre os trÃs mÃtodos utilizados
description Anismus is one of the most frequent disease in carrying patients of obstructed defecation and it is being present in about 50.0% of the constipated patients. The aim of this study is to demonstrate the use of the bi-dimensional anorectal ultrasound (2-D USD) for the diagnosis of anismus and comparing the results with the anus manometry and the three-dimensional anorectal ultrasound (3-D USD). Sixty adult women with obstructed defecation symptoms were evaluated in this prospective and comparative study, coming from Colorectal Unit of the Hospital UniversitÃrio Walter CantÃdio of the Universidade Federal do CearÃ, between September 2006 to March 2007. All the patients were initially submitted to anus manometry (BAD) and then divided in two groups with 30 patients each. Group I was formed by patients without anismus at the mean age of 48,63 (24 the 69) years, while group II with carrying patients with anismus at the mean age of 51,20 (27 the 78) years. After that, patients of both groups were submitted to the 3-D and 2-D USD by an examiner who was unaware of the results of the manometries. The average size of the gotten angle with the 3-D USD at rest position of group I was 87.28Â Â 0.80Â (76,5Â-96,2Â) and of 87.87Â Â 0.99Â (78,5Â-109,4Â) in group II. (p=0,3220). The average size of the angle during the evacuatory effort of group I was of 93.25Â Â 1.49Â (74,9Â-106,9Â) and of 85.27Â Â 1.35Â (72,0Â- 101,8Â) in group II, (p=0.007). The average size of the gotten angle with the USD 2-D at rest positions of group I was 62.61Â Â 1.15Â (50,9Â-75,0Â) and of 65.51Â Â 0.89Â (50,8Â-73,0Â) in group II (p=0,0257). The average size of the angle during the evacuating effort of group I was of 59.75Â Â 1.42Â (44,0Â-73,0Â) and of 69.40Â Â 1.06Â (52,6Â-79,5Â) in group II, (p< 0,001). Comparing the differences of the angles size at rest position and during evacuatory effort of the patients of group I with group II, using 2-D and 3-D USD, there was statistically significant difference (p< 0,0001). Comparing the results between the 2-D USD with the manometry, there was agreement in 86,67% and 83,33% of the patients of group I and group II respectivelly. Comparing the results between the 2-D and 3-D USD, there was agreement of 93,33% in the evaluation of the patients of group I and of 90,0% of the patients of group II. The agreement among the three methods was 86,67% as positive predictive value and 83.33% as negative predictive value. It is concluded that the use the 2-D USD was considered efficient in the diagnosis of anismus by the high indication of agreement among the three used methods
publishDate 2007
dc.date.issued.fl_str_mv 2007-07-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
status_str publishedVersion
format masterThesis
dc.identifier.uri.fl_str_mv http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=1171
url http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=1171
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language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do CearÃ
dc.publisher.program.fl_str_mv Programa de PÃs-GraduaÃÃo em Cirurgia
dc.publisher.initials.fl_str_mv UFC
dc.publisher.country.fl_str_mv BR
publisher.none.fl_str_mv Universidade Federal do CearÃ
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UFC
instname:Universidade Federal do Ceará
instacron:UFC
reponame_str Biblioteca Digital de Teses e Dissertações da UFC
collection Biblioteca Digital de Teses e Dissertações da UFC
instname_str Universidade Federal do Ceará
instacron_str UFC
institution UFC
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