Donovan William H
1The Institute for Rehabilitation and Research (TIRR), TIRR 1333 Moursund St., Houston, TX 77030 USA.
Department of PM&R McGovern UT Medical School, Houston, TX USA.
Spinal Cord Ser Cases. 2018 Jan 10;4:4. doi: 10.1038/s41394-017-0014-y. eCollection 2018.
The examination of the sensation of the anal orifice and the contraction of the external anal sphincter, either voluntarily or reflexly, has always been an integral part of the International Standards for Neurologic Classification of Spinal Cord Injury (ISNCSCI). Yet the importance of this component has been defended and challenged. This paper compares these two points of view as expressed by Previnaire and Marino, respectively. Both authors make important points but as the papers do not address the same aspect of the anal exam, room for further refinement of ISNCSCI both regarding the details of the exam and the use of components of the exam for prognostication of neurologic recovery is apparent.
对肛门孔感觉以及肛门外括约肌自主或反射性收缩的检查，一直是《脊髓损伤神经学分类国际标准》（ISNCSCI）的一个组成部分。然而，这一组成部分的重要性既得到了维护，也受到了挑战。本文比较了普雷维纳尔和马里诺分别表达的这两种观点。两位作者都提出了重要观点，但由于两篇论文并未涉及肛门检查的同一方面，因此无论是在检查细节还是在将检查组成部分用于神经恢复预后评估方面，ISNCSCI都有进一步完善的空间。
