Gonçalves Maria Lúcia Campos, Fernandes Samantha Figueiredo Frota, de Almeida Romulo Medeiro, Diaz Fernando Augusto Ferreira, de Oliveira Paulo Gonçalves, de Sousa João Batista
Arq Bras Cir Dig. 2013 Nov-Dec;26(4):280-5. doi: 10.1590/s0102-67202013000400006.
Anorectal manometry is a diagnostic method often used in clinical practice for assessing functional anorectal disorders and pelvic floor. The dysfunctional voiding, anorectal and pelvic floor has been considered as contributing factors of the symptoms of overactive bladder.
To evaluate the results with anorectal manometry in adult women with clinical and urodynamic diagnostics of overactive bladder.
Twenty-five adult women (mean age 45.5 ± 11.9 years) with clinical and urodynamic diagnostic of overactive bladder underwent anorectal manometry and the results of this assessment were compared to a control group of eighteen women (mean age 33.9 ± 10.7 years) with no urinary or intestinal disorders and without clinical criteria for diagnosis of overactive bladder.
Paradoxical puborectalis contraction occurred in six patients in the overactive bladder group and none of the controls. There were no significant between group differences in the following manometric parameters: rectoanal inhibitory reflex, rectal sensitivity, maximum tolerable volume, resting pressure, and hypertonia at rest. Mean squeeze pressure was 182.2 mmHg in the overactive bladder group versus 148.1 mmHg in the control group.
Women with overactive bladder had increased incidence of paradoxical puborectalis contraction than women in the control group.
肛门直肠测压是临床实践中常用于评估功能性肛门直肠疾病和盆底功能的诊断方法。排尿功能障碍、肛门直肠及盆底功能障碍被认为是膀胱过度活动症症状的促成因素。
通过肛门直肠测压评估成年女性膀胱过度活动症的临床及尿动力学诊断结果。
对25名经临床及尿动力学诊断为膀胱过度活动症的成年女性（平均年龄45.5±11.9岁）进行肛门直肠测压，并将评估结果与18名无泌尿或肠道疾病且无膀胱过度活动症临床诊断标准的女性对照组（平均年龄33.9±10.7岁）进行比较。
膀胱过度活动症组有6名患者出现耻骨直肠肌反常收缩，而对照组无此情况。在以下测压参数方面，两组间无显著差异：直肠肛门抑制反射、直肠敏感性、最大耐受容量、静息压力及静息时张力亢进。膀胱过度活动症组平均挤压压力为182.2 mmHg，而对照组为148.1 mmHg。
膀胱过度活动症女性耻骨直肠肌反常收缩的发生率高于对照组女性。
