Amarenco G, Denys P, Kerdraon J
Service de Rééducation, CHG R. Ballanger, Aulnay-sous-Bois.
J Urol (Paris). 1992;98(4):196-8.
For many years, perineal neurogenic abnormalities associated with stress urinary incontinence have been described using electromyography examination, evoked potentials or neuromuscular biopsy. It has been suggested that the progressive denervation of the striated pelvic sphincter musculature that occurs in genuine stress incontinence is due to repeated stretch injury of the innervation of these muscles when the pelvic floor diaphragm is weak. New investigations such as perineal nerve motor latency confirmed this hypothesis. A real "perineal stretch neuropathy" may be described. It is very important to know about this neurogenic factor before considering rehabilitation therapy.
多年来，一直通过肌电图检查、诱发电位或神经肌肉活检来描述与压力性尿失禁相关的会阴部神经源性异常。有人提出，真性压力性尿失禁中发生的横纹肌盆底括约肌肌肉组织的进行性去神经支配，是由于盆底膈肌薄弱时这些肌肉的神经支配反复受到拉伸损伤所致。会阴神经运动潜伏期等新的研究证实了这一假设。可能存在一种真正的“会阴部拉伸神经病变”。在考虑康复治疗之前了解这一神经源性因素非常重要。
