Bouvier M
Laboratoire de Neurobiologie (E2), CNRS, Marseille.
Arch Int Physiol Biochim Biophys. 1991 Sep;99(5):A53-63. doi: 10.3109/13813459109145917.
Defaecation is a complex function that requires interactions between the somatic and autonomic nervous systems. Moreover, social living standards lead to self-control of continence involving supraspinal nervous structures. After a brief description of the anatomy of the hind gut, the various reflex mechanisms underlying faecal continence and defaecation are exposed; the specificities of the nervous control of the smooth and striated muscles brought into play in these events are detailed. Then the main useful investigations allowing to localize the nervous structures at the origin of the anorectal disorders are reviewed.
排便 是一项复杂的功能,需要躯体神经系统和自主神经系统之间相互作用。此外,社会生活水平导致涉及脊髓上神经结构的控便自我控制。在简要描述后肠的解剖结构后,揭示了粪便节制和排便背后的各种反射机制;详细阐述了在这些过程中发挥作用的平滑肌和横纹肌神经控制的特异性。然后回顾了有助于定位肛肠疾病起源处神经结构的主要有用检查方法。