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直肠脱垂肛管直肠功能变化的临床特征及意义

李丽 张恒 苏丹 罗玲花 林宏城 任东林

中山大学学报(医学科学版)2017,Vol.38Issue(6):873-877,5.
中山大学学报(医学科学版)2017,Vol.38Issue(6):873-877,5.

直肠脱垂肛管直肠功能变化的临床特征及意义

Changes of Pudendal Nerve Terminal Movement Latency and Anorectal Function in Rectal Prolapsed Patients

李丽 1张恒 1苏丹 1罗玲花 1林宏城 1任东林1

作者信息

  • 1. 中山大学附属第六医院盆底治疗专科//广东省结直肠盆底疾病研究重点实验室,广东广州 510655
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摘要

Abstract

[Objectives]To evaluate the change of anorectal function in patients with rectal prolapsed by water perfusion anorec?tal manometry and pelvic floor electromyography.[Methods]A total of 60 patients with rectal prolapsed were enrolled in this study, the analgesic parameters included resting sphincter pressures, squeeze sphincter pressures, length of the anal canal and rectal sensa?tion, the results were compared with the parameters of normal population. Twenty of which completed pelvic floor electromyography ex?amination, analyzed the changes of pudendal nerve terminal movement latency (PNTML).[Results]The resting sphincter pressures, squeeze sphincter pressures of patients were lower than the normal population;The length of anal canal was shortened;The first sensa?tion and the first defecation threshold were higher than those of normal people, There was no significant change in the maximum tolera?ble threshold of rectum;pudendal nerve terminal movement latency extended more than 2.6 ms.[Conclusions]Anal resting stool and function of contraction weakened in patients of rectal prolapse, decreased sensitivity of rectal, pudendal nerve terminal movement laten?cy extended.

关键词

肛管直肠测压/盆底肌电图/阴部神经潜伏期

Key words

anorectal manometry/pelvic floor electromyography/pudendal nerve terminal movement latency

分类

医药卫生

引用本文复制引用

李丽,张恒,苏丹,罗玲花,林宏城,任东林..直肠脱垂肛管直肠功能变化的临床特征及意义[J].中山大学学报(医学科学版),2017,38(6):873-877,5.

基金项目

广东省科技计划项目(Z20150108201706156) (Z20150108201706156)

中山大学学报(医学科学版)

OA北大核心CSCDCSTPCD

1672-3554

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