一个简短的生理学和病理生理学肠,基于整体理论范式
Darren M Gold1, Michael Swash2, Ahmed Farag3
1Department of Surgery, St Vincent's Clinical School, University of NSW, Sydney, NSW, Australia.
带松,特别是带 (PUL) 和子宫神经带 (USL),导致便失禁和便受阻. 修复这些带和周围体 (PB) 可以治愈这些常见的肠功能障碍.
科学领域:
- 骨盆底重建性手术是什么?
- 整体理论在医学中的范式.
背景情况:
- 直肠功能依赖于复杂的反射机制,涉及皮层和外围部件.
- 功能障碍是由于阴道带 (PUL) 和子宫带 (USL) 的松引起的,影响关闭,疏散和便紧迫性.
- 周围体 (PB) 对于直肠支至关重要;损伤有助于阻塞排便和下降周围综合征 (DPS).
研究的目的:
- 审查基于整体理论范式的实验性科学作品和手术.
- 阐明带在直肠功能和功能障碍中的作用.
- 提出带修复作为便失禁和便障碍的治疗方法.
主要方法:
- 综合理论框架内的实验性科学作品和外科手术程序的审查.
- 对尾关闭,疏散和节机制的生物力学分析.
- 检查与带松和PB损伤相关的膀和肠道功能障碍的致病性.
主要成果:
- 软弱或松散的PUL和USL导致尾关闭,疏散和排便控制 (便紧迫性) 的受损.
- 修复PUL和USL显示出改善或治愈这些直肠功能障碍的潜力.
- PB损伤与排便障碍和DPS有关;其悬浮带的修复可以解决DPS.
结论:
- 带松是膀和肠道功能障碍的主要原因.
- 阴道 (PUL) 和子宫神经带 (USL) 的手术修复可以恢复正常的膀和直肠功能.
- 周围体 (PB) 和其悬浮带的修复为下降周围综合征 (DPS) 提供了治疗方法.
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