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多发性硬化症患者盆底功能障碍的临床评估:尿动力学与神经学关联

Clinical assessment of pelvic floor dysfunction in multiple sclerosis: urodynamic and neurological correlates.

作者信息

De Ridder D, Vermeulen C, De Smet E, Van Poppel H, Ketelaer P, Baert L

机构信息

Department of Urology, Catholic University of Leuven, UZ Gasthuisberg, Belgium.

出版信息

Neurourol Urodyn. 1998;17(5):537-42. doi: 10.1002/(sici)1520-6777(1998)17:5<537::aid-nau10>3.0.co;2-c.

DOI:10.1002/(sici)1520-6777(1998)17:5<537::aid-nau10>3.0.co;2-c
PMID:9776017
Abstract

We present a study on the clinical assessment of pelvic floor dysfunction in 30 female patients with proven multiple sclerosis (MS). A scoring system for pelvic floor muscle testing by digital vaginal palpation is proposed. The concept of pelvic floor spasticity in MS is introduced. The relationship of our findings with the neurological findings and urodynamic data is presented. Pelvic floor spasticity correlates well with the presence of detrusor-external sphincter dyssynergia and with more severe spinal cord disease.

摘要

我们对30例确诊为多发性硬化症(MS)的女性患者进行了盆底功能障碍的临床评估研究。提出了一种通过阴道指诊进行盆底肌肉测试的评分系统。引入了MS中盆底痉挛的概念。展示了我们的研究结果与神经学检查结果及尿动力学数据之间的关系。盆底痉挛与逼尿肌-外括约肌协同失调的存在以及更严重的脊髓疾病密切相关。

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