盆底功能失调型便秘的生物反馈治疗
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黄忠诚

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Biological feedback treatment of pelvic floor functional constipation
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    摘要:

    目的:探讨盆底功能失调型便秘的生物反馈治疗的效果。
    方法:回顾性分析46例盆底功能失调型便秘行生物反馈治疗患者的资料。
    结果:44例坚持完成治疗的患者中,35例肛管直肠压力测定示直肠感觉阈值、最大耐受容量、直肠肛门抑制反射较治疗前降低,盆底肌的反常收缩消失,恢复正常排便;6例排便次数,排便不尽感,肛门坠胀感较治疗前有所改善;3例无效。2例终止治疗后失访。总有效率为93.2 %。
    结论:盆底功能失调型便秘生物反馈治疗近期疗效满意,具有无创、费用低、无需住院等特点。

    Abstract:

    Abstract:Objective:To study the effect of biological feedback treatment of pelvic floor functional constipation.
    Methods :A analysis of the clinical data of 46 cases of biological feedback treatment of pelvic floor functional constipation was made.
    Results:Among 44 cases who completed the biological feedback treatment, anorectic manometer detection results of 35 cases indicated that the rectum sensitivity threshold and the maximum tolerance capacity and recto-anal inhibitory reflex decreased, compared with those before treatment. Paradoxical contraction of pelvic floor disappeared and normal bowel movement was regained; in cases the symptoms were improved, including times of bowel movement, functional constipation and anorectic distention. The effective rate of biofeedback treatment was 93.2 %. Only 3 cases were ineffective and 2 cases stopped treatment.
    Conclusions:The short-term effect of biological feedback treatment for pelvic floor functional comstipation is satisfactory, and has advantages of non-traumatic, low cost and no need for hospital admission.

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黄忠诚, 刘祺, 罗维珍, 苏冀, 唐佳新, 王爱民, 刘清安.盆底功能失调型便秘的生物反馈治疗[J].中国普通外科杂志,2007,16(12):15-118.
DOI:10.7659/j. issn.1005-6947.2007.12.015

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  • 在线发布日期: 2007-12-25