Amarenco G, Kerdraon J, Adba M A, Lacroix P
Laboratoire d'Urodynamique et de Neurophysiologie, CHG Robert-Ballanger, Aulnay-sous-bois.
J Gynecol Obstet Biol Reprod (Paris). 1991;20(4):501-5.
For many years perineal neurogenic abnormalities in stress urinary incontinence have been described using electromyography examination, evoked potentials or neuromuscular biopsy. Swash suggested that progressive denervation of the stretched 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" can be described. It is probably very important to know about this neurogenic factor before considering surgery or rehabilitation therapy and in cases of recurrent stress incontinence. 40 cases are described.
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压力性尿失禁患者的会阴神经源性异常。斯沃什认为，真性压力性尿失禁中出现的盆底括约肌肌肉组织渐进性失神经支配，是由于盆底隔膜薄弱时这些肌肉的神经支配反复受到拉伸损伤所致。诸如会阴神经运动潜伏期等新的研究证实了这一假设。可以描述一种真正的“会阴拉伸神经病”。在考虑手术或康复治疗之前以及复发性压力性尿失禁的情况下，了解这一神经源性因素可能非常重要。本文描述了40例病例。
