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括约肌

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Result: Unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .

结果:不稳定性膀胱9例(45%),低顺应性膀胱5例(25%),膀胱出口梗阻11例(55%),逼尿肌尿道括约肌协同失调7例(35%),其中不稳定膀胱合并膀胱出口梗阻6例,低顺应性膀胱合并膀胱出口梗阻4例,不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。

Objective: To evaluate the effects and feasibilities of Botulinum-A toxin injection into urinary sphincter endoscopically to treat detrusor-sphincter dyssynergia and to retain upper urinary tract function in patients with spinal cord injury.

目的:观察尿道括约肌内注射A型肉毒毒素治疗脊髓损伤患者逼尿肌-括约肌协同失调的临床效果。

Result: Unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .

采用丹迪尿流测定仪对20例慢性前列腺炎患者进行尿流率、充盈性膀胱侧压、压力―流率测定、尿道侧压及肌电图检查。结果:不稳定性膀胱9例(45%),低顺应性膀胱5例(25%),膀胱出口梗阻11例(55%),逼尿肌尿道括约肌协同失调7例(35%),其中不稳定膀胱合并膀胱出口梗阻6例,低顺应性膀胱合并膀胱出口梗阻4例,不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。

The results demonstrated that the symptoms may be caused by reflexia neurogenic bladder as in 21 cases (61.7%), or areflexia neurogenic bladder as in 13 cases,(38.3%). 13 cases presenting with difficult micturition were caused by vesico-external sphincter dyssynergia while 8 cases with incontinence have normal vesico-external sphincter function.

结果显示有反射性膀胱21例(61.7%),其中逼尿肌外括约肌协同失调13例,排尿困难为主要表现;逼尿肌外括约肌协同正常8例,急迫性尿失禁为主要表现。

Cases presenting with difficult micturition were caused by vesico-external sphincter dyssynergia while 8 cases with incontinence have normal vesico-external sphincter function.

结果显示有反射性膀胱21例(61.7%),其中逼尿肌外括约肌协同失调13例,排尿困难为主要表现;逼尿肌外括约肌协同正常8例,急迫性尿失禁为主要表现。

The pelvic nerve of inferior hypogastric plexus originated from the most caudal root of the pelvic splanchnic nerve, running along the surface of the levator ani and passing laterally around the vagina and rectum to enter the sphincter musculature at the 5-o'clock and 7-o'clock positions. 7l.4% of specimens were found intrapelvic branches which were given by pudendal nerve. Before leaving the pudendal canal, pudendal nerve gave an intrapelvic branch that passed the levator ani and accompanied with pelvic nerve to innervate the sphincter when it approached the sphincter. The distance between these intrapelvic branches and the level of the bladder neck was about (12.6±1.6)mm.

结果:控尿神经是由下腹下丛和阴部神经盆内盆外分支组成,其中盆神经是下腹下丛远端盆内脏神经分支,沿肛提肌表面到达尿道5点和7点位。71.4%的标本中发现阴部神经存在盆内分支,此分支自阴部管内的阴部神经主干穿肛提肌进入盆内,大约在接近尿道括约肌时汇入盆神经共同进入尿道括约肌,其进入尿道的位置距离膀胱颈平面(12.6±1.6)mm。

OBJECTIVE: To understand the law of asymmetry changes of the pressure of the anal sphincter, provide biomechanics evidence for the investigation of anus control, moreover, conduce to the plerosis and functional restoration of the injury of sphincter and the biofeedback training post-operation.

目的:了解肛门括约肌压力非对称性变化的规律,为肛门控制研究提供生物力学佐证,而且也有助于指括约肌损伤的修复和功能重建,以及术后的生物反馈训练。

We sought to clarify the relationship of pudendal nerve terminal motor latency to sphincter pressure and level of continence in a cohort of patients with intact anal sphincters and normal pelvic floor anatomy.

作者力图说明阴部神经末梢冲动潜伏期、括约肌压力和具有完整肛门括约肌和正常骨盆底部结构患者的节制功能之间的关系。

Objective To assess the anal sphincteric function after intersphincteric resection for low rectal cancer by vectorial manometry.

目的 应用直肠肛管向量测压技术评估低位直肠癌经内外括约肌间切除术后肛门括约肌功能。

To evaluate the efficacy of endoscopic sphincterotomy in patients with biliary Sphincter of Oddi Dysfunction.

目的评估内镜下乳头括约肌切开术对胆型 Oddi括约肌功能紊乱的疗效。

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