功能性排便障碍患者经腰磁刺激运动诱发电位（ms-第三军医大学学报.docVIP

经腰磁刺激运动诱发电位功能性排便障碍［摘 要］ 目的：能性（F）方法：F 组患者0 例，男 例，女 例，平均年龄53.12±17.60岁8.28±6.14年；正常对照组 例，男13例，女17例，年龄19-35岁，平均年龄25.67±7.32岁。 通过的方法观察。 结果：F 组和正常对照组双侧 MEP 各参数比较均无显著差异P＞0.05）；与正常对照组比较，F 组波潜伏期延长，波幅下降，差异显著P＜0.05）。结论： ［关键词］ 功能性；经磁刺激；运动诱发电位 Study of transumbar motor-evoked potentials in the patients with functional defecation disorders Min Ni, Shu-Qing Ding,Shao-hua huangpu,Hui-feng Zhou,Wang Lan Third ?Af?liated ?Hospital ?of ?Nanjing ?University ?of ? Chinese ?Medicine, ?Nanjing ?210001, ?Jiangsu ?Province, ?China ［Abstract］ Objective：To evaluate the diagnostic value ofranslumbar magnetic stimulation motor evoked potentials in functional defecation disorders(FDD).Methods：cases of FDD patients and thirty healthy controls were enrolled in the study． group included 37 males and 43 females, mean age was(53.12±17.60 )years, mean duration was (8.28±6.14) years；normal control group included 1 males and 17 females, mean age was (25.67±7.32) years．observe the change of neural action potentials by recording anorectal motor evoked potentials (MEP) following translumbar magnetic stimulation (TMS) over lumbar nerve root bilaterally．Results：The comparison of bilateral parameters showed no significant difference in both the F group and the control group (P＞0.05)．Compared with normal control group,n the FDD group, evoked potential latency was prolonged and amplitude was significantly lower than the control group (P＜0.05)．Conclusion：It was believed thatranslumbar magnetic stimulation motor evoked potentials might have a significant value of application to the diagnosis of FDD. ［Key words］unctional defecation disorders (FDD)；magnetic stimulationMS)；motor evoked potentials (LMEP) ( 功能性排便障碍（functional defecation disorders ,FDD）是FC）的一个亚型，盆底肌magnetic stimulation-lumbar motor evoked potentials ，MS-LMEP)的方法，研究FDD患者腰脊神经根到肛门外括约肌的运动神经传导功能, 旨在探索FDD患者的电生理变化特征及其对FDD的诊断价值。 1 资料与方法 1.1 临床资料 FDD患者0例，其中男例，女例，年龄23岁-69岁，平均年龄5.12±17.60岁，病程.28±6.14年。消化道器质性疾病或其他累及消化道的系统性疾病，如神经肌肉的病变、内分泌及代谢性疾病、系统性硬化症、神