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完全性直肠脱垂的肛门括约肌压力研究

Anal sphincteric pressure studies in complete rectal prolapse.

作者信息

Obeid S A, Zidan H, Hassab M A

出版信息

Dis Colon Rectum. 1979 Jul-Aug;22(5):342-5. doi: 10.1007/BF02609322.

DOI:10.1007/BF02609322
PMID:467203
Abstract

Anal sphincteric pressure studies of patients with complete rectal prolapse demonstrated that: 1) The resting yield pressure of the internal anal sphincter in patients with complete rectal prolapse was not significantly different from that of control subjects. Thus, it seems to have no role in the etiology of prolapse. 2) The maximal sphincteric pressure of the external anal sphincter was significantly less in patients with prolapse than in controls. This suggested weakness in the effective functional power of the external anal sphincter in complete prolapse. 3) Anal continence could be achieved by the ability to maintain full contraction of the external anal sphincter for more than 40 seconds, which was the minimum for control subjects. Incontinent patients could not do this.

摘要

对完全性直肠脱垂患者进行的肛门括约肌压力研究表明

1)完全性直肠脱垂患者的肛门内括约肌静息屈服压力与对照组无显著差异。因此,它似乎在脱垂病因中不起作用。2)脱垂患者的肛门外括约肌最大收缩压明显低于对照组。这表明完全性脱垂患者肛门外括约肌的有效功能力量较弱。3)通过能够使肛门外括约肌持续完全收缩超过40秒可实现肛门节制,这是对照组的最低标准。失禁患者无法做到这一点。

相似文献

1
Anal sphincteric pressure studies in complete rectal prolapse.完全性直肠脱垂的肛门括约肌压力研究
Dis Colon Rectum. 1979 Jul-Aug;22(5):342-5. doi: 10.1007/BF02609322.
2
[Evaluation of the sphincter function and rectal sensitivity in rectal prolapse associated with fecal incontinence].[直肠脱垂合并大便失禁患者的括约肌功能及直肠敏感性评估]
Chir Ital. 1993 Feb-Dec;45(1-6):124-31.
3
Clinical and manometric evaluation of anal sphincter function in patients with rectal prolapse.
Am J Surg. 1986 Apr;151(4):489-92. doi: 10.1016/0002-9610(86)90110-8.
4
Incontinence and rectal prolapse: a prospective manometric study.
Dis Colon Rectum. 1991 Mar;34(3):209-16. doi: 10.1007/BF02090159.
5
Recovery of the internal anal sphincter following rectopexy: a possible explanation for continence improvement.直肠固定术后肛门内括约肌的恢复:控便能力改善的一种可能解释。
Int J Colorectal Dis. 1988 Mar;3(1):23-8. doi: 10.1007/BF01649678.
6
Anorectal function and defecation dynamics in patients with rectal prolapse.直肠脱垂患者的肛门直肠功能与排便动力学
Am J Surg. 1988 Feb;155(2):206-10. doi: 10.1016/s0002-9610(88)80694-9.
7
Rectoanal inhibition and incontinence in patients with rectal prolapse.直肠脱垂患者的直肠肛门抑制与失禁
Br J Surg. 1994 May;81(5):743-6. doi: 10.1002/bjs.1800810542.
8
Anorectal function in patients with complete rectal prolapse. Differences between continent and incontinent individuals.完全性直肠脱垂患者的肛肠功能。控便型与失禁型个体之间的差异。
Rev Esp Enferm Dig. 1998 Nov;90(11):794-805.
9
Manometric evaluation of rectal prolapse and faecal incontinence.直肠脱垂和大便失禁的测压评估
Gut. 1981 Feb;22(2):126-9. doi: 10.1136/gut.22.2.126.
10
Results of treatment for rectal prolapse and fecal incontinence.直肠脱垂和大便失禁的治疗结果。
Dis Colon Rectum. 1981 Sep;24(6):449-53. doi: 10.1007/BF02626780.

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Outcome of submucosal injection of different sclerosing materials for rectal prolapse in children.儿童直肠脱垂不同硬化剂黏膜下注射的疗效
Pediatr Surg Int. 2004 May;20(5):353-6. doi: 10.1007/s00383-004-1197-4. Epub 2004 May 28.
2
Rectoanal pressures and rectal compliance in children with rectal prolapse.直肠脱垂患儿的直肠肛管压力及直肠顺应性
Jpn J Surg. 1985 May;15(3):234-7. doi: 10.1007/BF02469894.