盆底非松弛：评估与治疗方法
Pelvic Floor Nonrelaxation: Approach to Evaluation and Treatment.
作者信息
Kaplan Jennifer A, Simianu Vlad V
机构信息
Virginia Mason Medical Center, Seattle, Washington.
出版信息
Clin Colon Rectal Surg. 2021 Jan;34(1):49-55. doi: 10.1055/s-0040-1714286. Epub 2020 Sep 4.
Abstract
Dyssynergic defecation can be a complex, burdensome condition. A multidisciplinary approach to these patients is often indicated based on concomitant pathology or symptomatology across the pelvic organs. Escalating treatment options should be based on shared decision making and include medical and lifestyle optimization, pelvic floor physical therapy with biofeedback, Botox injection, sacral neuromodulation, rectal irrigation, and surgical diversion.
摘要
排便协同失调可能是一种复杂且负担沉重的病症。基于盆腔器官的伴随病理状况或症状学，通常需要对这些患者采取多学科方法。逐步升级的治疗选择应基于共同决策，包括医学和生活方式优化、生物反馈盆底物理治疗、肉毒杆菌毒素注射、骶神经调节、直肠灌洗以及手术改道。
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