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特发性大便失禁中会阴下降与阴部神经损伤的关系。

Relation between perineal descent and pudendal nerve damage in idiopathic faecal incontinence.

作者信息

Jones P N, Lubowski D Z, Swash M, Henry M M

出版信息

Int J Colorectal Dis. 1987 Jun;2(2):93-5. doi: 10.1007/BF01647699.

DOI:10.1007/BF01647699
PMID:3625013
Abstract

In 60 patients with idiopathic anorectal incontinence, without neurological disease, there was a significant relationship, shown by regression analysis, between the pudendal nerve terminal motor latency and the extent of perineal descent during straining (r 0.59; p less than 0.001), and the plane of the perineum on straining (r -0.61; p less than 0.001). These data are consistent with the suggestion that perineal descent can lead to stretch-induced damage to the perineal nerves in this condition.

摘要

在60例无神经疾病的特发性肛门直肠失禁患者中,经回归分析表明,阴部神经终末运动潜伏期与用力时会阴下降程度之间存在显著相关性(r = 0.59;p < 0.001),与用力时会阴平面之间也存在显著相关性(r = -0.61;p < 0.001)。这些数据与以下观点一致,即在这种情况下,会阴下降可导致伸展引起的会阴神经损伤。

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本文引用的文献

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The pelvic floor musculature in the descending perineum syndrome.会阴下降综合征中的盆底肌肉组织
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Slowed conduction in the pudendal nerves in idiopathic (neurogenic) faecal incontinence.特发性(神经源性)大便失禁患者阴部神经传导减慢。
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Clinical Significance of Perineal Descent in Pelvic Outlet Obstruction Diagnosed by using Defecography.排粪造影诊断盆腔出口梗阻中会阴下降的临床意义
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Neurophysiological testing in anorectal disorders.肛门直肠疾病的神经生理学检测
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The association of obstructive defecation, lower urinary tract dysfunction and the benign joint hypermobility syndrome: a case-control study.
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Pudendal neuropathy in diabetic patients with faecal incontinence.糖尿病性大便失禁患者的阴部神经病变
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The acute effect of straining on pelvic floor neurological function.用力对盆底神经功能的急性影响。
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10
The neurophysiological significance of perineal descent.会阴下降的神经生理意义。
Int J Colorectal Dis. 1995;10(2):107-11. doi: 10.1007/BF00341208.
4
Damage to the innervation of the voluntary anal and periurethral sphincter musculature in incontinence: an electrophysiological study.尿失禁中随意性肛门和尿道周围括约肌肌肉组织神经支配的损伤:一项电生理学研究。
J Neurol Neurosurg Psychiatry. 1984 Dec;47(12):1269-73. doi: 10.1136/jnnp.47.12.1269.
5
Increased motor unit fibre density in the external anal sphincter muscle in ano-rectal incontinence: a single fibre EMG study.肛门直肠失禁患者肛门外括约肌运动单位纤维密度增加:一项单纤维肌电图研究。
J Neurol Neurosurg Psychiatry. 1980 Apr;43(4):343-7. doi: 10.1136/jnnp.43.4.343.
6
Injury to innervation of pelvic floor sphincter musculature in childbirth.分娩时盆底括约肌肌肉神经支配损伤。
Lancet. 1984 Sep 8;2(8402):546-50. doi: 10.1016/s0140-6736(84)90766-9.
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Evidence of pudendal neuropathy in patients with perineal descent and chronic straining at stool.会阴下降和慢性排便用力患者的阴部神经病变证据。
Gut. 1984 Nov;25(11):1279-82. doi: 10.1136/gut.25.11.1279.
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The syndrome of the descending perineum.会阴下降综合征
Proc R Soc Med. 1966 Jun;59(6):477-82. doi: 10.1177/003591576605900601.
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What is the best way of measuring perineal descent? A comparison of radiographic and clinical methods.
Br J Surg. 1985 Dec;72(12):999-1001. doi: 10.1002/bjs.1800721222.
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Damage to the innervation of the pelvic floor musculature in chronic constipation.慢性便秘中盆底肌肉组织神经支配的损伤。
Gastroenterology. 1985 Nov;89(5):977-81. doi: 10.1016/0016-5085(85)90196-9.