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临床试验/NCT01710579
NCT01710579已完成不适用

Ano-rectal 3D High Resolution Manometry: Normal Values and Comparison With Ultrasound Examination in Healthy Volunteers, Patients With Fecal Incontinence and Patients With Constipation

Hospices Civils de Lyon1 个研究点 分布在 1 个国家目标入组 127 人开始时间: 2012年9月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
127
试验地点
1
主要终点
Anal pressure pattern at rest, during voluntary maximal squeezing and bear down Anal pressure pattern at rest, during voluntary maximal squeezing and bear down

研究概览

简要总结

Ano-rectal manometry is indicative in patients with either fecal incontinence or constipation. Recently anorectal 3D- high resolution manometry has been developed. Pressure variations are measured circumferentially along the anal canal. It may allow a better understanding of anorectal disorders by displaying anal pressure asymmetry and it could be useful to assess the functional anatomy of the pelvic floor better than conventional manometry.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
是

入选标准

  • •Subject older than 18 years Absence of anorectal symptoms (no constipation, no fecal incontinence) Absence of pelvic floor disorders Vaizey score = 0 Kess score < 9 Subject with health insurance Written informed consent Non inclusion criteria: Patient younger than 18 years Pregnancy Incapability to give consent No written informed consent Participation to another study at the same time Previous ano-rectal surgery Pelvic radiotherapy Neurological disorder Diabetes mellitus
  • •Arm 2: 50 patients with fecal incontinence
  • •Inclusion criteria:
  • •Subject older than 18 years Patient referred for anorectal manometry and/or ultrasound examination Fecal incontinence as main complain Vaizey score > 6 Kess score < 9 Subject with health insurance Written informed consent
  • •Non inclusion criteria:
  • •Patient younger than 18 years Pregnancy Incapability to give consent No written informed consent Participation to another study at the same time Rectal tumor Rectal stenosis Ileo-anal or ileo-rectal anastomosis Anal fissure Anal fistula Arm 3: 50 patients with constipation
  • •Inclusion criteria:
  • •Subject older than 18 years Patient referred for anorectal manometry and/or ultrasound examination Constipation as main complain Feeling of incomplete evacuation and/or manual disimpaction defined as needing to press in or around the anus to aid defecation Vaizey score < 6 Kess score < 9 Subject with health insurance Written informed consent
  • •Non inclusion criteria:
  • •Patient younger than 18 years Pregnancy Incapability to give consent No written informed consent Participation to another study at the same time Rectal tumor Rectal stenosis Ileo-anal or ileo-rectal anastomosis Anal fissure Anal fistula

排除标准

  • 未提供

研究组 & 干预措施

ARM 1 Healthy Volunteers

Other

Ano-rectal 3D high resolution manometry, ano-rectal radial endsonography, dynamic ano-rectal endosonography

干预措施: Dynamic anorectal endosonography (sagittal and radial) (Procedure)

ARM 1 Healthy Volunteers

Other

Ano-rectal 3D high resolution manometry, ano-rectal radial endsonography, dynamic ano-rectal endosonography

干预措施: Anorectal 3D-high resolution manometry (Procedure)

ARM 1 Healthy Volunteers

Other

Ano-rectal 3D high resolution manometry, ano-rectal radial endsonography, dynamic ano-rectal endosonography

干预措施: Anorectal radial endosonography (rotative 360° probe) (Procedure)

ARM 2: Patients with fecal incontinence

Other

Ano-rectal 3D high resolution manometry, ano-rectal radial endsonography, dynamic ano-rectal endosonography

干预措施: Anorectal 3D-high resolution manometry (Procedure)

ARM 2: Patients with fecal incontinence

Other

Ano-rectal 3D high resolution manometry, ano-rectal radial endsonography, dynamic ano-rectal endosonography

干预措施: Anorectal radial endosonography (rotative 360° probe) (Procedure)

ARM 2: Patients with fecal incontinence

Other

Ano-rectal 3D high resolution manometry, ano-rectal radial endsonography, dynamic ano-rectal endosonography

干预措施: Dynamic anorectal endosonography (sagittal and radial) (Procedure)

ARM 3 Patients with constipation

Other

Ano-rectal 3D high resolution manometry, ano-rectal radial endsonography, dynamic ano-rectal endosonography

干预措施: Anorectal 3D-high resolution manometry (Procedure)

ARM 3 Patients with constipation

Other

Ano-rectal 3D high resolution manometry, ano-rectal radial endsonography, dynamic ano-rectal endosonography

干预措施: Anorectal radial endosonography (rotative 360° probe) (Procedure)

ARM 3 Patients with constipation

Other

Ano-rectal 3D high resolution manometry, ano-rectal radial endsonography, dynamic ano-rectal endosonography

干预措施: Dynamic anorectal endosonography (sagittal and radial) (Procedure)

结局指标

主要结局

Anal pressure pattern at rest, during voluntary maximal squeezing and bear down Anal pressure pattern at rest, during voluntary maximal squeezing and bear down

时间窗: during procedure

Following parameters will be measured at the level of anal sphincter: * Minimal pressure (amplitude and location) * Maximal pressure (amplitude and location) * Mean pressure * Asymmetry

次要结局

  • presence of ano-rectal reflex.(during procedure)
  • Ano-rectal radial endosonography(During procedure)
  • Dynamic ano-rectal endoconography(During procedure)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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