From the Department of Physical Medicine and Rehabilitation, Seoul Medical Center, Seoul, Republic of Korea (SHH, KC, GYS, JK); and Department of Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea (GYS).
Am J Phys Med Rehabil. 2022 Feb 1;101(2):124-128. doi: 10.1097/PHM.0000000000001744.
The aim of the study was to compare the clinical value of pudendal nerve terminal motor latency in fecal incontinence patients with that of another diagnostic test-anorectal manometry.
This study used a cross-sectional design. Medical records of fecal incontinence patients who underwent pudendal nerve terminal motor latency and anorectal manometry testing were reviewed. Greater than 2.4 ms of pudendal nerve terminal motor latency was determined to be abnormal. Anorectal manometry was performed using a station pull-through technique. Mean resting anal pressure, maximal resting anal pressure, mean squeezing anal pressure, and maximal squeezing anal pressure were investigated. For normal and abnormal pudendal nerve terminal motor latency groups, comparative analyses were performed on anorectal manometry results.
A total of 31 patients were included. Thirteen patients showed normal pudendal nerve terminal motor latency. For anorectal manometry results, there was no significant difference between normal and abnormal pudendal nerve terminal motor latency groups. Fourteen patients had diabetes mellitus. Subgroup analysis of the 14 diabetic patients showed no significant difference between normal and abnormal pudendal nerve terminal motor latency groups. For 17 nondiabetic patients, there was a significant difference between the groups with positive correlations with mean/maximal resting anal pressures.
Pudendal nerve terminal motor latency significantly correlates with anorectal manometry in fecal incontinence only in nondiabetic patients.
本研究旨在比较直肠肛门测压与阴部神经终末运动潜伏期检测在粪便失禁患者中的临床价值。
本研究采用横断面设计。回顾性分析接受阴部神经终末运动潜伏期和直肠肛门测压检测的粪便失禁患者的病历。阴部神经终末运动潜伏期大于 2.4ms 被认为是异常的。直肠肛门测压采用直肠牵拉技术进行。研究了静息状态下平均肛门压力、最大静息肛门压力、平均收缩肛门压力和最大收缩肛门压力。对正常和异常阴部神经终末运动潜伏期组进行直肠肛门测压结果的比较分析。
共纳入 31 例患者。13 例患者阴部神经终末运动潜伏期正常。对于直肠肛门测压结果，正常和异常阴部神经终末运动潜伏期组之间无显著差异。14 例患者患有糖尿病。对 14 例糖尿病患者的亚组分析显示，正常和异常阴部神经终末运动潜伏期组之间无显著差异。对于 17 例非糖尿病患者，两组之间存在显著差异，与平均/最大静息肛门压力呈正相关。
阴部神经终末运动潜伏期与粪便失禁患者的直肠肛门测压显著相关，仅在非糖尿病患者中如此。
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