Shelton A A, Welton M L
Department of Surgery, University of California San Francisco School of Medicine, California, USA.
West J Med. 1997 Aug;167(2):90-8.
Normal pelvic floor function involves a set of learned and reflex responses that are essential for the normal control and evacuation of stool. A variety of functional disturbances of the pelvic floor, including incontinence and constipation, are not life threatening, but can cause significant distress to affected patients. Understanding the normal anatomy and physiology of the pelvic floor is essential to understanding and treating these disorders of defecation. This article describes the normal function of the pelvic floor, the diagnostic tools available to investigate pelvic floor dysfunction, and the etiology, diagnosis, and management of the functional pelvic floor disorders that lead to incontinence and constipation.
正常的盆底功能涉及一系列后天习得的和反射性的反应,这些反应对于正常控制和排出粪便至关重要。盆底的各种功能障碍,包括尿失禁和便秘,虽不危及生命,但会给受影响的患者带来极大困扰。了解盆底的正常解剖结构和生理功能对于理解和治疗这些排便障碍至关重要。本文描述了盆底的正常功能、用于研究盆底功能障碍的诊断工具,以及导致尿失禁和便秘的功能性盆底障碍的病因、诊断和管理。