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扩张肛门对骶神经后根放电和肛管压力的影响

基础医学与临床 1994年第1期 73-73页

作者：李龙张金哲吕国蔚何国瑞刘晓红首都医学院神经生物学研究室北京儿童医院外科

扩张肛门对骶神经后根放电和肛管压力的影响李龙，张金哲，吕国蔚，何国瑞，刘晓红（北京儿童医院外科北京１０００３７）本研究采用神经电生理学记录测压及组织学手段，对２０只豚鼠进行实验观察。发现扩张肛门时，从第二骶髓后根可以... 详细信息

扩张肛门对骶神经后根放电和肛管压力的影响李龙，张金哲，吕国蔚，何国瑞，刘晓红（北京儿童医院外科北京１０００３７）本研究采用神经电生理学记录测压及组织学手段，对２０只豚鼠进行实验观察。发现扩张肛门时，从第二骶髓后根可以记录到自发放电、快适应放电和适应放...

关键词：自发放电后根感觉根神经电生理学肛门魄门骶神经肛管何国瑞压力曲线

骶3神经电针治疗脊髓损伤后逼尿肌反射亢进的临床效果

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中国康复理论与实践 2014年第3期20卷 224-225页

作者：王彦彬徐智慧诸靖宇黄邦高周鹏杭州市第三人民医院泌尿外科浙江杭州市310009

目的观察骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进的疗效。方法采用骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进的患者32例,观察治疗前和治疗8周后的排尿日记、尿动力学检查和生活质量评分。结果治疗后,患者排尿次数、漏尿次数、充... 详细信息

目的观察骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进的疗效。方法采用骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进的患者32例,观察治疗前和治疗8周后的排尿日记、尿动力学检查和生活质量评分。结果治疗后,患者排尿次数、漏尿次数、充盈末期逼尿肌压减少(P0.05),排尿量、最大膀胱容量、膀胱顺应性、生活质量评分较治疗前改善(P骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进疗效满意。

关键词：脊髓损伤逼尿肌反射亢进骶神经电针尿动力学

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恶性骶神经鞘膜瘤谩诊卵巢恶性肿瘤1例

中国实用妇科与产科杂志 1996年第2期 98-98页

作者：周群芳李华玲河南医科大学一附院妇产科长葛市人民医院妇产科

恶性骶神经鞘膜瘤谩诊卵巢恶性肿瘤１例河南医科大学一附院妇产科（４５００５２）周群芳长葛市人民医院妇产科（４６１５００）李华玲患者４８岁，住院号３９９２６５。发现下腹部包块２年，腹胀、纳差８个月，加重２个月，于１９９４... 详细信息

恶性骶神经鞘膜瘤谩诊卵巢恶性肿瘤１例河南医科大学一附院妇产科（４５００５２）周群芳长葛市人民医院妇产科（４６１５００）李华玲患者４８岁，住院号３９９２６５。发现下腹部包块２年，腹胀、纳差８个月，加重２个月，于１９９４年４月２６日入院。２年前因下腹痛曾...

关键词：卵巢恶性肿瘤卵巢癌鞘膜骶神经

骶神经调节治疗重症肛门失禁:40例连续病例独家机构报道

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世界核心医学期刊文摘（胃肠病学分册） 2006年第11期2卷 19-19页

作者： Faucheron J.-L. Bost R. Duffournet V. 纪泛扑 Unitéde Chirurgie Colorectale Département de Chirurgie Digestive et de l'Urgence BP 217 38043 Grenoble

Introduction -Sacral neuromodulation is a recognized therapeutic option in severe anal incontinence from neurogenic origins, when medical treatment has failed. Methods -We report the results of this procedure applied in 40 consecutive patients operated on by a single surgeon from August 2001 to June 2004. Mean duration of incontinence was 5 years. There were 33 women and 7 men of mean age 59 (range 29-89). All patients had had medical treatment, 26 had had physiotherapy and 9 had been previously operated on for that problem. Neuromodulation consisted in a temporary electrical stimulation test followed by implantation of a stimulator in case of efficacy. Results -Twenty nine patients had a positive test and were implanted. Ten had a negative test and one is waiting for implantation. From the 29 patients, 23 had uneventful postoperative course. Incontinence score varied from 17 before neuromodulation to 6 after in the 24 patients who were improved. Mean resting pressure, mean maximum squeeze pressure and mean duration of squeeze pressure did not change from pre to postoperative period. Conclusion -Sacral neuromodulation is a safe and efficacious procedure in properly selected anal incontinent patients. However, we observed no correlation between clinical and manometric data.

关键词：肛门失禁骶神经平均持续时间刺激反应大便失禁电刺激神经调节刺激物一名

骶神经刺激治疗直肠脱垂修复术后大便失禁:一项多中心研究

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世界核心医学期刊文摘（胃肠病学分册） 2005年第11期1卷 17-17页

作者： Jarrett M.E.D. Matzel K.E. Stsser M. M.A. Kamm 翟惠虹 Department of Gastroenterology St. Mark's Hospital Watford Road Harrow HA1 3UJ United KingdomDr.

PURPOSE: A proportion of patients have fecal incontinence secondary to a full-thickness rectal prolapse that fails to resolve following prolapse repair. This multicenter, prospective study assessed the use of sacral nerve stimulation for this indication. METHODS: Patients had to have more than or equal to four days with fecal incontinence per 21-day period more than one year after surgery. They had to have failed conservative treatment and have an intact external anal sphincter. RESULTS: Four female patients aged 42, 54, 68, and 65 years met the inclusion criteria. Three of the four patients had had more than one operation for recurrent full-thickness rectal prolapse before sacral nerve stimulation, one of whom had undergone a further operation for recurrence following stimulation. One patient had undergone one operation for prolapse repair. The preoperative duration of symptoms was ten, eight, three, and nine years, respectively. Although patients had an intact external anal sphincter, one patient had a fragmented internal anal sphincter. The frequency of fecal incontinent episodes changed from 11, 24.7, 5, and 8 per week at baseline to 0, 1.5, 5.5, and 1 per week at latest follow-up. Ability to defer defecation was also improved in two of three patients who had this documented. Fecal incontinence-specific quality of life assessment showed an improvement in all four domains. CONCLUSION: Sacral nerve stimulation should be considered for patients with ongoing fecal incontinence following full-thickness rectal prolapse repair if they prove resistant to conservative treatment.

关键词：直肠脱垂大便失禁骶神经修复术肛门外括约肌刺激疗法症状持续时间外科术生活质量评估本项

骶神经刺激法治疗直肠癌低位前切除术后的大便失禁

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中国普外基础与临床杂志 2010年第11期17卷 1189-1189页

作者：周潞四川大学华西医院MCQ团队

de Miguel M，Oteiza F，Ciga MA等为评估骶神经刺激法在直肠癌低位前切除术后大便失禁管理中的疗效，进行了一项前瞻性的单中心研究。在2005-2008年期间纳入15例患者，其中14例行全直肠系膜切除术者有严重大便失禁。

关键词：前切除术后大便失禁直肠癌刺激法骶神经低位全直肠系膜切除术治疗

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骶神经根囊肿1例

西部医学 2005年第4期17卷 369-369页

作者：巩万钧大英县人民医院四川大英县629300

病例患者,女性,69岁,因左侧坐骨神经痛半个月入院.查体:左下肢坐骨神经走行区压痛,直腿抬高试验阳性,左侧膝反射、踝反射消失,左小腿感觉异常;CT示:L5S1左侧坐骨神经根粗大,MRI示:L5S1水平左侧神经根囊肿.入院后经手术行骶板减压,S1左... 详细信息

病例患者,女性,69岁,因左侧坐骨神经痛半个月入院.查体:左下肢坐骨神经走行区压痛,直腿抬高试验阳性,左侧膝反射、踝反射消失,左小腿感觉异常;CT示:L5S1左侧坐骨神经根粗大,MRI示:L5S1水平左侧神经根囊肿.入院后经手术行骶板减压,S1左侧神经根囊肿切除术.术后患者疼痛消失,经抗炎、止血及卧床休息,术后12天痊愈出院.

关键词：坐骨神经骶神经囊肿