特发性（神经源性）大便失禁患者阴部神经近端传导正常但远端传导延迟
Normal proximal and delayed distal conduction in the pudendal nerves of patients with idiopathic (neurogenic) faecal incontinence.
作者信息
Kiff E S, Swash M
出版信息
J Neurol Neurosurg Psychiatry. 1984 Aug;47(8):820-3. doi: 10.1136/jnnp.47.8.820.
Abstract
The latency of the response in the external anal sphincter muscle following transcutaneous stimulation of the cauda equina at the L1 vertebral level was measured in nine women with neurogenic faecal incontinence (mean 7.3 SD 0.7 ms) and 11 normal subjects (mean 5.6 SD 0.6 ms) (p = 0.01). There was no difference in conduction velocity between the L1 and L4 vertebral levels thus supporting the suggestion that conduction delay in faecal incontinence occurs distally.
摘要
在9名患有神经源性大便失禁的女性（平均7.3，标准差0.7毫秒）和11名正常受试者（平均5.6，标准差0.6毫秒）中，测量了在L1椎体水平经皮刺激马尾神经后肛门外括约肌肌肉反应的潜伏期（p = 0.01）。L1和L4椎体水平之间的传导速度没有差异，因此支持了大便失禁传导延迟发生在远端的观点。
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Normal proximal and delayed distal conduction in the pudendal nerves of patients with idiopathic (neurogenic) faecal incontinence.特发性（神经源性）大便失禁患者阴部神经近端传导正常但远端传导延迟
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本文引用的文献
1
The anal reflex in idiopathic faecal incontinence: an electrophysiological study.特发性大便失禁的肛门反射：一项电生理研究。
Br J Surg. 1980 Nov;67(11):781-3. doi: 10.1002/bjs.1800671105.
2
Physiological studies of the anal sphincter musculature in faecal incontinence and rectal prolapse.大便失禁和直肠脱垂患者肛门括约肌肌肉组织的生理学研究
Br J Surg. 1981 Aug;68(8):531-6. doi: 10.1002/bjs.1800680804.
3
Direct and reflex responses in perineal muscles on electrical stimulation.电刺激时会阴肌肉的直接和反射反应。
J Neurol Neurosurg Psychiatry. 1983 Jan;46(1):67-71. doi: 10.1136/jnnp.46.1.67.
4
Electroejaculation: its technique, neurological implications and uses.电射精：其技术、神经学意义及应用。
J Neurol Neurosurg Psychiatry. 1981 Jan;44(1):9-18. doi: 10.1136/jnnp.44.1.9.
5
Anal sphincter responses after perianal electrical stimulation.肛周电刺激后肛门括约肌反应
J Neurol Neurosurg Psychiatry. 1982 Sep;45(9):770-3. doi: 10.1136/jnnp.45.9.770.
6
Early and late components in the human anal reflex.人类肛门反射中的早期和晚期成分。
J Neurol Neurosurg Psychiatry. 1982 Sep;45(9):767-9. doi: 10.1136/jnnp.45.9.767.
7
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.
8
Sphincter denervation in anorectal incontinence and rectal prolapse.肛门直肠失禁和直肠脱垂中的括约肌去神经支配
Gut. 1977 Aug;18(8):656-65. doi: 10.1136/gut.18.8.656.
9
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J Neurol Neurosurg Psychiatry. 1978 Sep;41(9):813-8. doi: 10.1136/jnnp.41.9.813.
10
Assessment of pelvic-floor disorders and incontinence by electrophysiological recording of the anal reflex.
Lancet. 1978 Jun 17;1(8077):1290-1. doi: 10.1016/s0140-6736(78)91271-0.
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