直肠脱垂肛管直肠功能变化的临床特征及意义
【目的】通过研究肛管直肠动力及阴部神经潜伏期的变化，探讨直肠脱垂患者肛管功能的异常，为临床制定治 疗方式提供合理依据。【方法】回顾分析60例诊断为直肠脱垂患者水灌注肛管直肠压力数据，分析肛管静息压、肛管功能长 度、肛管最大收缩压、直肠黏膜初始感觉、初始排便感觉及最大耐受阈值，并将检查结果与正常人群参数比较；其中20例患 者完成盆底肌电图检查，分析阴部神经潜伏期的变化。【结果】直肠脱垂患者肛管静息压力、收缩压力均低于正常人群（P< 0.05）；肛管功能长度缩短（P<0.05）；直肠初始感觉及初始排便阈值高于正常人群（P<0.05），直肠最大耐受阈值无明显变化； 直肠脱垂患者阴部...
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| Published in | Zhongshan da xue xue bao. Zhongshan daxue xuebao yixue kexue ban = Journal of Sun Yat-sen University. Yi xue ke xue ban Vol. 38 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
Editorial Office of Journal of Sun Yat-sen University
01.01.2017
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1672-3554 |
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| Abstract | 【目的】通过研究肛管直肠动力及阴部神经潜伏期的变化，探讨直肠脱垂患者肛管功能的异常，为临床制定治 疗方式提供合理依据。【方法】回顾分析60例诊断为直肠脱垂患者水灌注肛管直肠压力数据，分析肛管静息压、肛管功能长 度、肛管最大收缩压、直肠黏膜初始感觉、初始排便感觉及最大耐受阈值，并将检查结果与正常人群参数比较；其中20例患 者完成盆底肌电图检查，分析阴部神经潜伏期的变化。【结果】直肠脱垂患者肛管静息压力、收缩压力均低于正常人群（P< 0.05）；肛管功能长度缩短（P<0.05）；直肠初始感觉及初始排便阈值高于正常人群（P<0.05），直肠最大耐受阈值无明显变化； 直肠脱垂患者阴部神经潜伏期延长超过2.6 ms。【结论】直肠脱垂患者肛管静息持便及收缩功能减弱，直肠黏膜敏感性下 降，直肠黏膜下神经丛反应降低，阴部神经潜伏期延长。 |
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| AbstractList | 【目的】通过研究肛管直肠动力及阴部神经潜伏期的变化，探讨直肠脱垂患者肛管功能的异常，为临床制定治 疗方式提供合理依据。【方法】回顾分析60例诊断为直肠脱垂患者水灌注肛管直肠压力数据，分析肛管静息压、肛管功能长 度、肛管最大收缩压、直肠黏膜初始感觉、初始排便感觉及最大耐受阈值，并将检查结果与正常人群参数比较；其中20例患 者完成盆底肌电图检查，分析阴部神经潜伏期的变化。【结果】直肠脱垂患者肛管静息压力、收缩压力均低于正常人群（P< 0.05）；肛管功能长度缩短（P<0.05）；直肠初始感觉及初始排便阈值高于正常人群（P<0.05），直肠最大耐受阈值无明显变化； 直肠脱垂患者阴部神经潜伏期延长超过2.6 ms。【结论】直肠脱垂患者肛管静息持便及收缩功能减弱，直肠黏膜敏感性下 降，直肠黏膜下神经丛反应降低，阴部神经潜伏期延长。 |
| Author | 任东林 林宏城 罗玲花 |
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| Snippet | 【目的】通过研究肛管直肠动力及阴部神经潜伏期的变化，探讨直肠脱垂患者肛管功能的异常，为临床制定治 疗方式提供合理依据。【方法】回顾分析60例诊断为直肠脱垂患者水灌注肛管直肠压力数据，分析肛管静息压、肛管功能长... |
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| SubjectTerms | 盆底肌电图 肛管直肠测压 阴部神经潜伏期 |
| Title | 直肠脱垂肛管直肠功能变化的临床特征及意义 |
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