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| 題 名 | Anorectal Manometric Characteristics Differ in Biofeedback for Postoperative Fecal Incontinence=以生物回饋訓練治療術後肛門失禁之肛門直腸壓力學變化 |
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| 作 者 | 江支銘; 葉建裕; 王正儀; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 30:5 民86.09-10 |
| 頁 次 | 頁316-321 |
| 分類號 | 416.245 |
| 關鍵詞 | 生物回饋訓練; 術後肛門失禁; 肛門直腸壓力學變化; Biofeedback; Postoperative incontinence; |
| 語 文 | 英文(English) |
| 英文摘要 | 生物回饋訓練被建議為術後肛門失禁的可行之保守療法。但其作用機轉未明。我 們分析 6 位接受肛門�硎牏滼N及 6 位低位前切除手術之病人,術後因為肛門失禁,而接受 生物回饋訓練,我們分析其訓練前後之肛門直腸壓力生理學變化,結果發現在�硎牏滼N這組 之病人,其肛門平均靜止壓力及最大收縮壓力在生物回饋訓練之後,有明顯意義之上升。而 在接受低位前切除術這組的病人,其有意義的變化為直腸感覺閥之增加及順性之降低。我們 因此結論,不同的機轉可能說明不同疾病接受生物回饋訓練的生理學變化,生物回饋應視其 病情,而有所偏重。 n resting pressure, anal maximal voluntary contraction pressure, the threshold of rectal sensation and rectal compliance. The group of post-fistulectomy patients showed a significant increase in anal mean resting pressure (p=0.0457 and maximal voluntary contraction pressure (p=0.026) after 3 months of biofeedback training. The group of patients with low anterior resection had different patterns of change, showing a signficant decrease in rectal compliance (p=0.0039) and a slight decrease in the threshold of rectal sensation (p=0.0547). Different patterns of change in ARM imply that different mechanisms were responsible for the effects of biofeedback training in each group. Biofeedback was able to functionally strengthen the efficacy of both the external sphincter and the tonically contracted internal sphincter.However, the increase in rectal sensation after biofeedback training provided post-LAR patients more time to go the toilet before they had an episode of incontinence. Adjustment in biofeedback training to achieve different goals for different types of patients should be emphasized. |
本系統中英文摘要資訊取自各篇刊載內容。