摘要
目的:探讨三维高分辨肛门直肠测压在生物反馈联合电刺激治疗大便失禁患者的肛门直肠功能的评估价值。方法:对107例大便失禁的患者行生物反馈联合电刺激治疗,治疗前后给予三维高分辨肛门直肠测压检测,评定患者肛门直肠压力和直肠感觉的变化。结果:治疗3个疗程后肛管最大静息压(64.6±2.3)mmHg(1 mmHg=0.133 kPa),肛管平均静息压(58.5±2.3)mmHg,肛管最大收缩压(122.0±6.3)mmHg和收缩持续时间(18.7±0.3)s明显高于治疗前(56.8±2.6)mmHg、(51.8±2.6)mmHg、(98.4±5.5)mmHg和(17.1±0.5)s,肛门直肠区域的压力形态明显改善。结论:生物反馈联合电刺激是治疗大便失禁的有效的治疗手段。三维高分辨肛门直肠测压能够有效的发现,定位和评估盆底肌肉舒缩的压力变化。
Objective To explore the influence of nurse-oriented telephone follow-up on the compliance and side-effects of Imatinib in postoperative gastrointestinal stromal tumor （GIST） patients Methods Sixty moderate and high risk GIST patients were divided into postoperative guidance group （30 cases） and control group （30 cases） randomly. Patients in control group received routine nursing care. Throuzh telenhone follow-up.patients in postoperative guidance group received medication guidance. The compliance and incidence rate of side-effects between the two groups were corn-3 courses of treatment （64.6 ± 2.3） mmHg（1 mmHg, anal maximal contraction pressure （122 cantly higher than those before treatment [（56.8 mmHg=0.133 kPa）, average anal resting pressure （58.5 ± 2.3） ± 6.3） mmHg and contraction duration （18.7 ±0.3） s, were signifi ±0.6） 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
出处
《中国中西医结合外科杂志》
CAS
2017年第3期231-235,共5页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
三维肛门直肠测压
生物反馈
大便失禁
电刺激
Three dimensional high resolution anorectal manometry
biofeedback
fecal incontinence
elec-trical stimulation
