中国中西医结合外科杂志2017，Vol.23Issue(3)：231-235,5.DOI:10.3969/j.issn.1007-6948.2017.03.003
三维肛门直肠测压在大便失禁治疗中的应用
Application of Three Dimensional Anorectal Manometry in Treatment of Fecal Incontinence
许晨 1宇永军 2张轶 2林欣 2李玉玮 2张锡朋 2江涛2
作者信息
- 1. 天津中医药大学研究生院 天津 300193
- 2. 天津市人民医院肛肠科 天津 300121
- 折叠
摘要
Abstract
Objective To evaluate the value of three dimensional high resolutions anorectal manometry (3D-HRAM) in anorectal function in patients with fecal incontinence treated by biofeedback combined with elec-trical stimulation. Methods One hundred and seven patients with fecal incontinence were treated with bio-feedback combined with electrical stimulation, and 3D-HRAM was performed before and after treatment. Results The maximum anal resting pressure after 3 courses of treatment (64.6 ± 2.3) mmHg(1 mmHg=0.133 kPa), average anal resting pressure (58.5 ± 2.3) mmHg, anal maximal contraction pressure (122 ± 6.3) mmHg and contraction duration (18.7 ±0.3) s, were signifi-cantly higher than those before treatment [(56.8 ±2.6) mmHg, (51.8 ± 2.6) mmHg, (98.4±5.5) mmHg and (17.1± 0.5) s,respectively]. The form of pressure of the anorectal region was improved significantly. Conclusions Bio-feedback combined with electrical stimulation is an effective treatment for fecal incontinence, the 3D-HRAM is an effective method to detect, locate and evaluate the pressure changes of pelvic floor muscles.关键词
三维肛门直肠测压/生物反馈/大便失禁/电刺激Key words
Three dimensional high resolution anorectal manometry/biofeedback/fecal incontinence/elec-trical stimulation分类
医药卫生引用本文复制引用
许晨,宇永军,张轶,林欣,李玉玮,张锡朋,江涛..三维肛门直肠测压在大便失禁治疗中的应用[J].中国中西医结合外科杂志,2017,23(3):231-235,5.
