CAJ | 학술논문

目的对肛门外括约肌肌力进行量化分级，并探讨其在脊髓神经不完全损伤恢复期的意义。方法肛门内置水囊与 KLP－ V30型智能生理压力测试仪相联。测量 20例腰麻前后的肛门外括约肌自主收缩压直至恢复至麻醉前水平，同时记录双下肢感觉运动评分。并对 10例脊髓损伤恢复期患者观测随访。结果腰麻后随着神经功能状态改变，感觉运动评分逐渐提高，肛门外括约肌肌力也存在梯度。将其肌力分为 4级，正常肌力在 25mmHg左右。临床应用表明脊髓不完全损伤者肛门外括约肌肌力及恢复情况与脊髓损伤及恢复程度有关。结论对肛门括约肌肌力进行量化分级可作为脊髓损伤及其功能恢复程度的一个辅助参考。
목적대항문외괄약기기력진행양화분급，병탐토기재척수신경불완전손상회복기적의의。방법항문내치수낭여 KLP－ V30형지능생리압력측시의상련。측량 20례요마전후적항문외괄약기자주수축압직지회복지마취전수평，동시기록쌍하지감각운동평분。병대 10례척수손상회복기환자관측수방。결과요마후수착신경공능상태개변，감각운동평분축점제고，항문외괄약기기력야존재제도。장기기력분위 4급，정상기력재 25mmHg좌우。림상응용표명척수불완전손상자항문외괄약기기력급회복정황여척수손상급회복정도유관。결론대항문괄약기기력진행양화분급가작위척수손상급기공능회복정도적일개보조삼고。
Objective To study the quantitative grade of sphincter ani externus myodynamia and to discuss the significance of using in convalescent of incomplete spinal cord injuries.Method A small water sac linked to KLP－ V30 intelligent measure of physiologic pressure was insered in to anal canal.Sphincter ani externus independence systolic pressure of 20 cases was measured from before lumbvar anesthesia to recovery.Meanwhile,both lower extremities sensorimotor score was dicumented.10 cases spinal cord injuries reconvalescent had been follow up .Result With the alteru of nerve functional status aftere lumbar anesthesia,sensorimotor score gradually rose,and sphincter ani externus myodynamia also rose by degrees.Accoding to the trial result,the myodynamia was divided 4 grades.Nomal myodynamia was about 25 mmHg.It was made clear that sphincter ani extermus myodynamia recovery of incomplete spinal cord injuries correlated with degree of spinal cord injuries and recoveries.Conclusion It might take as one reference of evaluation degree of spinal cord injury and its function recovery to make the quantitatvie grade of sphincter ani extermus myodynamia.