Gemsenjäger E
Chirurgische Klinik, Spital Neumünster, Zollikerberg.
Schweiz Med Wochenschr. 1990 Jun 16;120(24):903-10.
The currently available methods of anorectal functional investigation are critically reviewed. The clinical utility of manometry has not yet been precisely defined, and the method is not standardized. The principal role of manometry is comparison between defined groups, such as preoperative and postoperative, whereas determination of the degree of continence has proven not more accurate than clinical digital investigation. The latter serves to determine qualitatively all important functions of the anal sphincter components. Radiological dynamic investigations may detect and differentiate various forms of anorectal constipation (outlet obstruction, internal prolapse, rectocele). While electrophysiological studies are not currently used in clinical practice, they demonstrate the importance of pudendal nerve damage in pelvic floor disorders and incontinence. Electromyography may be used to identify the activity of the sphincter components. Clinical investigation may provide detailed and adequate qualitative information on anorectal function.
对目前可用的肛肠功能检查方法进行了批判性综述。测压法的临床效用尚未明确界定，且该方法未标准化。测压法的主要作用是在特定组之间进行比较，如术前和术后，而事实证明，其对控便程度的测定并不比临床指诊更准确。后者有助于定性确定肛门括约肌各组成部分的所有重要功能。放射学动态检查可检测和区分各种形式的肛肠便秘（出口梗阻、内痔脱垂、直肠膨出）。虽然电生理研究目前未用于临床实践，但它们证明了阴部神经损伤在盆底疾病和失禁中的重要性。肌电图可用于识别括约肌各组成部分的活动。临床检查可为肛肠功能提供详细且充分的定性信息。
