Magnetic Resonance Imaging of Morphological and Functional Changes of the Uterus Induced by Sacral Surface Electrical Stimulation

DOI Web Site 参考文献23件
  • Ogura Takahide
    Department of Restorative Neuromuscular Rehabilitation, Tohoku University Graduate School of Medicine
  • Murakami Takashi
    Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine
  • Ozawa Yuka
    Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine
  • Seki Kazunori
    Department of Restorative Neuromuscular Rehabilitation, Tohoku University Graduate School of Medicine
  • Handa Yasunobu
    Department of Restorative Neuromuscular Rehabilitation, Tohoku University Graduate School of Medicine

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The purpose of this study is to examine the morphological and kinematical changes of the uterus induced by electrical stimulation applied to the skin just above the second and fourth posterior sacral foramens (sacral surface electrical stimulation [ssES]) in 26 healthy subjects. Out of them, eight subjects who had severe pain subjectively during every menstruation received ssES just in menstruation. Morphological and functional changes of the uterus were examined by using T2-weighted magnetic resonance (MR) imaging and T1-weighted MR cinematography, respectively. Cyclic electrical stimulation for 15 min with 5 sec ON and 5 sec OFF was applied just before MR scanning. A decrease in thickness of the muscular layer of the uterus was observed in every subject after ssES for 15 min and was significant as compared with the thickness before ssES. Periodic uterine movement during menstruation was observed in the subjects with severe menstrual pain in MR cine and the power spectrum analysis of the movement showed a marked decrease in peak power and frequency after ssES treatment. We conclude that ssES causes a reduction of static muscle tension of the uterus in all menstrual cycle periods and suppression of uterine peristalsis during menstruation in the subjects with severe menstrual pain. Possible neural mechanisms for these static and dynamic effects of ssES on the uterus at spinal level are discussed.

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