中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2010年
12期
921-923
,共3页
高野正博%緒方俊二%野崎良一%久野三朗%佐伯泰愼%福永光子%高野正太%田中正文%眞方紳一郎%中村寧%坂田玄太郎%山田一隆
高野正博%緒方俊二%野崎良一%久野三朗%佐伯泰愼%福永光子%高野正太%田中正文%眞方紳一郎%中村寧%坂田玄太郎%山田一隆
고야정박%서방준이%야기량일%구야삼랑%좌백태신%복영광자%고야정태%전중정문%진방신일랑%중촌녕%판전현태랑%산전일륭
神经源性骨盆脏器综合征%症状%肛门疼痛
神經源性骨盆髒器綜閤徵%癥狀%肛門疼痛
신경원성골분장기종합정%증상%항문동통
Neurogenic intrapelvic syndrome%Symptoms%Anal pain
目的 总结神经源性骨盆脏器综合征的症状并推测其可能的发生机制.方法 对2001-2005年日本高野医院大肠肛门病中心收治的537例神经源性骨盆脏器综合征的临床资料进行回顾性分析.结果 本组患者男205例,女332例,平均年龄58.5岁.单一症状者80例(14.9%),以肛门直肠痛最为常见(43.8%,35/80);两个症状者156例(29.1%),以肛门直肠痛加排粪障碍最为多见(26.3%,41/156);3个症状者144例(26.8%),以肛门直肠痛、排粪障碍加腹部症状多见(30.0%,43/144);4个症状者105例(19.6%),以肛门直肠痛、肛门失禁、腹部症状加腰椎症状多见(65.7%,69/105);5个症状者52例(9.7%).各症状出现频率分别为肛门直肠痛73.6%、肛门失禁27.9%、排粪障碍69.6%、腹部症状55.3%和腰椎症状53.6%.结论 神经源性骨盆脏器综合征的症状复杂多样,其发生很可能与骶骨神经和骨盆内脏神经同时发生障碍有关.
目的 總結神經源性骨盆髒器綜閤徵的癥狀併推測其可能的髮生機製.方法 對2001-2005年日本高野醫院大腸肛門病中心收治的537例神經源性骨盆髒器綜閤徵的臨床資料進行迴顧性分析.結果 本組患者男205例,女332例,平均年齡58.5歲.單一癥狀者80例(14.9%),以肛門直腸痛最為常見(43.8%,35/80);兩箇癥狀者156例(29.1%),以肛門直腸痛加排糞障礙最為多見(26.3%,41/156);3箇癥狀者144例(26.8%),以肛門直腸痛、排糞障礙加腹部癥狀多見(30.0%,43/144);4箇癥狀者105例(19.6%),以肛門直腸痛、肛門失禁、腹部癥狀加腰椎癥狀多見(65.7%,69/105);5箇癥狀者52例(9.7%).各癥狀齣現頻率分彆為肛門直腸痛73.6%、肛門失禁27.9%、排糞障礙69.6%、腹部癥狀55.3%和腰椎癥狀53.6%.結論 神經源性骨盆髒器綜閤徵的癥狀複雜多樣,其髮生很可能與骶骨神經和骨盆內髒神經同時髮生障礙有關.
목적 총결신경원성골분장기종합정적증상병추측기가능적발생궤제.방법 대2001-2005년일본고야의원대장항문병중심수치적537례신경원성골분장기종합정적림상자료진행회고성분석.결과 본조환자남205례,녀332례,평균년령58.5세.단일증상자80례(14.9%),이항문직장통최위상견(43.8%,35/80);량개증상자156례(29.1%),이항문직장통가배분장애최위다견(26.3%,41/156);3개증상자144례(26.8%),이항문직장통、배분장애가복부증상다견(30.0%,43/144);4개증상자105례(19.6%),이항문직장통、항문실금、복부증상가요추증상다견(65.7%,69/105);5개증상자52례(9.7%).각증상출현빈솔분별위항문직장통73.6%、항문실금27.9%、배분장애69.6%、복부증상55.3%화요추증상53.6%.결론 신경원성골분장기종합정적증상복잡다양,기발생흔가능여저골신경화골분내장신경동시발생장애유관.
Objective To characterize the symptoms of neurogenic intrapelvic syndrome and the pathogenic mechanisms. Methods A total of 537 patients with neurogenic intrapelvic syndrome were treated in the Takano Hospital between 2001 and 2005. Clinical data were analyzed retrospectively.Results The mean age was 58.5 years old. There were 205 males and 332 females. There were 80 patients(14.9%) who presented with only one symptom with anorectal pain being the most common one (43.8%,35/80). One hundred and fifty-six(29.1%) patients had two symptoms with anorectal pain and difficult evacuation being the most common combination (26.3% ,41/156). There were 144 patients (26.8%) complained of 3 symptoms and the most common combination was anorectal pain, difficult evacuation, and abdominal discomfort (30.0%, 43/144). A combination of 4 symptoms was reported in 105 patients (19.6%) with the combination of anoretal pain, incontinence, abdominal discomfort, and lumbar discomfort being the most often (65.7%, 69/105). In addition, there were 52 patients (9.7%)who had above 5 symptoms simultaneously. The frequencies of the 5 symptoms were 73.6% for anorecal pain, 27.9% for incontinence, 69.6% for difficult evacuation, 55.3% for abdominal discomfort, and 53.6% for lumbar discomfort. Conclusions Symptomatology of neurogenic intrapelvic syndrome is complicated. The pathogenic mechanism may be related to concurrent dysfunction of sacral nerve and pelvic splanchnic nerve.
