成人盆底痉挛综合征型便秘的分型及其病理生理机制
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肖元宏, 刘洲禄, 刘贵麟, 彭少林, 王 政, 彭 正, 臧传波, 夏少友,
盆底痉挛综合征型便秘;便秘分型;病理生理学;静息电位;生物反馈训练,肖元宏,刘洲禄,刘贵麟,彭少林,王政,彭正,臧传波,夏少友,张艳君,通讯作者:,Classificationandpathophysiologicalmechanismofa
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肖元宏, 刘洲禄, 刘贵麟, 彭少林, 王政, 中国人民解放军总医院小儿外科 北京市 100853
彭正, 臧传波, 夏少友, 张艳君, 中国人民解放军总医院普外科 北京市 100853
通讯作者: 肖元宏, 100853, 北京市, 中国人民解放军总医院小儿外科. xiaoyh28@sina.com
电话: 010-66937123
收稿日期: 2006-11-22 接受日期: 2006-12-18
Classification and pathophysiological mechanism of adult constipation caused by spastic pelvic floor syndrome in adults
Yuan-Hong Xiao, Zhou-Lu Liu, Gui-Lin Liu, Shao-Lin Peng, Zheng Wang, Zheng Peng, Chuan-Bo Zang, Shao-You Xia, Yan-Jun Zhang
Yuan-Hong Xiao, Zhou-Lu Liu, Gui-Lin Liu, Shao-Lin Peng, Zheng Wang,Department of Pediatric Surgery, General Hospital of Chinese PLA, Beijing 100853, China
Zheng Peng, Chuan-Bo Zang, Shao-You Xia, Yan-Jun Zhang,Department of General Surgery, General Hospital of Chinese PLA, Beijing 100853, China
Correspondence to:Xiao-Yuan Hong, Department of Pediatric Surgery, General Hospital of Chinese PLA, Beijing 100853, China. xiaoyh28@sina.com
Received:2006-11-22 Accepted:2006-12-18
Abstract
AIM: To discuss the classification and pathophysiological mechanism of constipation caused by spastic pelvic floor syndrome (SPFS) in adults, and to investigate the mechanism of biofeedback training in treating this type of constipation.
METHODS: Biofeedback training was performed on 18 adult patients suffered from SPFS-caused constipation using the instruments produced by Medtronic Company with the basic circuit voltage of 1.53 μV for about 20-minute relaxation exercises. The basic resting and stimulated voltages of external anal sphincter (EAS) were obtained by the anal electrode, and then compared using statistical analysis.
RESULTS: Based on the resting voltage and the voltage change of EAS during simulation, the SPFS-caused constipation was classified into 3 types: type Ⅰ was characterized with a high resting voltage and paradoxical activity of EAS (44.44%); type Ⅱ was characterized with a high resting voltage of EAS (33.33%); type Ⅲ was characterized with paradoxical activity of EAS (22.22%). The patients with high resting voltages covered a percentage of 77.77%. There existed significant differences among three types (P = 0.001).
CONCLUSION: High resting voltages and secondary paradoxical activity may be the mechanisms of SPFS-caused constipation. A significant decrease of resting voltage and inhibition of EAS paradoxical activity can be obtained through biofeedback training.
Key Words: Pelvic dyssynergia constipation; Classification of constipation; Pathophysiology; Resting voltage; Biofeedback training
Xiao YH, Liu ZL, Liu GL, Peng SL, Wang Z, Peng Z, Zang CB, Xia SY, Zhang YJ. Classification and pathophysiological mechanism of adult constipation caused by spastic pelvic floor syndrome in adults. Shijie Huaren Xiaohua Zazhi 2007;15(7):767-771
摘要
目的: 探讨成人盆底痉挛综合征型便秘的分型及其病理生理机制, 以及生物反馈治疗该型便秘的原理. ......
肖元宏, 刘洲禄, 刘贵麟, 彭少林, 王政, 中国人民解放军总医院小儿外科 北京市 100853
彭正, 臧传波, 夏少友, 张艳君, 中国人民解放军总医院普外科 北京市 100853
通讯作者: 肖元宏, 100853, 北京市, 中国人民解放军总医院小儿外科. xiaoyh28@sina.com
电话: 010-66937123
收稿日期: 2006-11-22 接受日期: 2006-12-18
Classification and pathophysiological mechanism of adult constipation caused by spastic pelvic floor syndrome in adults
Yuan-Hong Xiao, Zhou-Lu Liu, Gui-Lin Liu, Shao-Lin Peng, Zheng Wang, Zheng Peng, Chuan-Bo Zang, Shao-You Xia, Yan-Jun Zhang
Yuan-Hong Xiao, Zhou-Lu Liu, Gui-Lin Liu, Shao-Lin Peng, Zheng Wang,Department of Pediatric Surgery, General Hospital of Chinese PLA, Beijing 100853, China
Zheng Peng, Chuan-Bo Zang, Shao-You Xia, Yan-Jun Zhang,Department of General Surgery, General Hospital of Chinese PLA, Beijing 100853, China
Correspondence to:Xiao-Yuan Hong, Department of Pediatric Surgery, General Hospital of Chinese PLA, Beijing 100853, China. xiaoyh28@sina.com
Received:2006-11-22 Accepted:2006-12-18
Abstract
AIM: To discuss the classification and pathophysiological mechanism of constipation caused by spastic pelvic floor syndrome (SPFS) in adults, and to investigate the mechanism of biofeedback training in treating this type of constipation.
METHODS: Biofeedback training was performed on 18 adult patients suffered from SPFS-caused constipation using the instruments produced by Medtronic Company with the basic circuit voltage of 1.53 μV for about 20-minute relaxation exercises. The basic resting and stimulated voltages of external anal sphincter (EAS) were obtained by the anal electrode, and then compared using statistical analysis.
RESULTS: Based on the resting voltage and the voltage change of EAS during simulation, the SPFS-caused constipation was classified into 3 types: type Ⅰ was characterized with a high resting voltage and paradoxical activity of EAS (44.44%); type Ⅱ was characterized with a high resting voltage of EAS (33.33%); type Ⅲ was characterized with paradoxical activity of EAS (22.22%). The patients with high resting voltages covered a percentage of 77.77%. There existed significant differences among three types (P = 0.001).
CONCLUSION: High resting voltages and secondary paradoxical activity may be the mechanisms of SPFS-caused constipation. A significant decrease of resting voltage and inhibition of EAS paradoxical activity can be obtained through biofeedback training.
Key Words: Pelvic dyssynergia constipation; Classification of constipation; Pathophysiology; Resting voltage; Biofeedback training
Xiao YH, Liu ZL, Liu GL, Peng SL, Wang Z, Peng Z, Zang CB, Xia SY, Zhang YJ. Classification and pathophysiological mechanism of adult constipation caused by spastic pelvic floor syndrome in adults. Shijie Huaren Xiaohua Zazhi 2007;15(7):767-771
摘要
目的: 探讨成人盆底痉挛综合征型便秘的分型及其病理生理机制, 以及生物反馈治疗该型便秘的原理. ......
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