Benson J T
Department of Obstetrics and Gynecology, Methodist Hospital of Indiana, Indianapolis.
Curr Opin Obstet Gynecol. 1994 Aug;6(4):320-3.
The neurogenic theory of female pelvic floor dysfunction suggests a common thread for malfunction of pelvic visceral and support activities. Support for the neurogenic hypothesis has been promoted by recent literature showing that more central neuropathic processes, such as in the cauda equina or pelvic plexus, can be associated with the previously described peripheral neuropathies and are linked to pelvic floor disorders. Damage by vaginal dissection has been suggested as another etiologic factor. This concept has further been supported by studying the effects of pudendal nerve blockade. Methods for investigating pelvic floor neurophysiology are becoming more refined and widespread, and therapeutic horizons are described including nerve stimulation and surgical therapy of nerve compression.
女性盆底功能障碍的神经源性理论表明，盆腔脏器功能和支持活动出现故障存在一个共同的线索。近期文献支持了神经源性假说，这些文献表明，更多中枢神经病变过程，如马尾或盆腔神经丛的病变，可能与先前描述的周围神经病变相关，并与盆底疾病有关。阴道解剖造成的损伤被认为是另一个病因。通过研究阴部神经阻滞的效果，这一概念得到了进一步支持。研究盆底神经生理学的方法正变得更加精细和广泛，同时还介绍了包括神经刺激和神经压迫手术治疗在内的治疗前景。
