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盆底失弛缓型便秘直肠感觉功能及肛管动力学变化

鲍聚喜 张光鑫 张孝通 杨凤霞

西北国防医学杂志2013,Vol.34Issue(2):120-122,3.
西北国防医学杂志2013,Vol.34Issue(2):120-122,3.

盆底失弛缓型便秘直肠感觉功能及肛管动力学变化

Anorectal sensation function and changes of anal canal dynamics in pelvic achalasia constipation

鲍聚喜 1张光鑫 1张孝通 1杨凤霞1

作者信息

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摘要

Abstract

Objective:To study the anorectal sensation function and the changes of anal canal dynamics in pelvic achalasia constipation, in order to study pelvic achalasia constipation pathogenesis and to determine the best treatment method. Methods: ZJ - D3 rectal pressure measuring instrument and biological stimulation feedback instrument were used to evaluate the pressure change and the surface electromyographic state of the rectum canal in 36 cases with the pelvic achalasia constipation and 28 healthy volunteers as control. We determined the pressure change of rectum anal canal, the thresholds rectal sensation and the stimulation threshold, the rectal compliance of defecation and surface EMG baseline, and compared their differences. Results: There was no significant difference in the contractived pressure of the anorectal and the net decompression of the internal external anal sphincter com-pard with the control group (P >0. 01) , whereas significant difference was found in anal resting pressure, length of anal canal rectum anal high pressure, the barrier pressure, rectal sensory thresholds, capacity of stimulation threshold, defecation rectal compliance and former baseline between the two groups (P <0. 01 ). Conclusion; Rectal sensation dysfunction and pelvic floor muscle movement dyssynchrony were the main causes for pelvic achalasia constipation.

关键词

盆底失弛缓型便秘/肛门直肠测压/肛管动力学

Key words

Pelvic achalasia constipation/ Anorectal manometry/ Anal dynamics

分类

医药卫生

引用本文复制引用

鲍聚喜,张光鑫,张孝通,杨凤霞..盆底失弛缓型便秘直肠感觉功能及肛管动力学变化[J].西北国防医学杂志,2013,34(2):120-122,3.

西北国防医学杂志

OACSTPCD

1007-8622

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