Jost W H
Fachbereich Neurologie und Klinische Neurophysiologie, Deutsche Klinik für Diagnostik, Wiesbaden.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:899-904.
Functional diagnostic exploration in proctology is ever-expanding and becoming more differentiating. Neurophysiologic examinations can take over an essential share. They have in part already been introduced into routine diagnostic workup. Both afference and efference, as well as the muscular system can be investigated in functional neurologic disorders of the pelvic floor. The electromyogram using concentric needle electrodes constitutes the most significant tool. It provides us with a better verification of the neurogenic lesion, and enables us to discriminate between acute and chronic and comment on severity and prognosis. The diagnostic program is additionally supplemented by motor and sensory evoked potentials, electroneurography of the pudendal nerve, and measurements of vegetative nerve paths.
直肠病学中的功能诊断探索正在不断扩展且越来越具鉴别性。神经生理学检查可发挥重要作用。它们部分已被引入常规诊断流程。在盆底功能性神经障碍中，传入和传出功能以及肌肉系统均可得到研究。使用同心针电极的肌电图是最重要的工具。它能让我们更好地验证神经源性病变，使我们能够区分急性和慢性病变，并对严重程度和预后作出评估。运动和感觉诱发电位、阴部神经电神经图以及自主神经径路测量等检查进一步补充了诊断方案。
