Ｒｅｃｔｏｃｅｌｅの病態と治療を考える　２　　直腸こう門内圧からみたＲｅｃｔｏｃｅｌｅの病態

• 天野 信一

  三重県立看護大学

書誌事項

タイトル別名

• Dynamic Anorectal Manometry in the Assessment of Patients with Rectocele.

抄録

Anorectal manometry, inclusive of straining anorectal pressure, was performed on 10 normal women and 23 women with rectocele. Anal resting pressure and squeezing pressure were significantly increased in patients with rectocele, but there was no significant change in anorectal reflex, rectal sensation, and rectal compliance. However, for anal straining pressure, one of anorectal pressures, those of patients with rectocele were significantly increased compared with those of normal subjects. Moreover, the pressure difference between anal straining pressure and abdominal pressure (anismus index) with rectocele was positive. This tendency was significant for the patients with paradoxical sphincter contraction. The anismus index was correlated with disability of evacuation (evacuation grade). Technique for transanal, or perineal anterior anorectoplasty, achieved that paradoxical sphincter contraction was disappeared, although being without depth of anterior rectal wall into the vagina, and the anismus index and evacuation grade were improved. These results suggest that paradoxical sphincter contraction during straining with rectocele is a specific factor for anismus.

収録刊行物

• 日本大腸肛門病学会雑誌

  日本大腸肛門病学会雑誌 53 (10), 962-968, 2000

  日本大腸肛門病学会

キーワード

• rectocele
• anorectal manometry
• paradoxical sphincter contration
• anismus index
• evacuation grade

詳細情報

• CRID: 1390001204856193536
• NII論文ID: 10007615963
• NII書誌ID: AN00195100
• DOI: 10.3862/jcoloproctology.53.962
• ISSN: 18829619
• ISSN: 00471801
• Web Site: http://www.jstage.jst.go.jp/article/jcoloproctology1967/53/10/53_10_962/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2001095688
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可