Botulinum toxin type-A injection to treat the patients with intractable anismus unresponsive to simple biofeedback training
Objectives This study was designed to evaluate the efficacy of botulinum toxin type-A injection to the puborectalis and external sphincter muscle to treat patients with anismus unresponsive to simple biofeedback training.Patients and methods This retrospective study included 31 patients suffering from anismus and were unresponsive to simple biofeedback training.Diagnosis was made by anorectal manometry (ARM), balloon expulsion test, surface electromyography (sEMG) of the pelvic floor muscle, and defecography.Patients were performed BTX-A injection and pelvic floor biofeedback training.Follow-up was conducted before the paper.Improvment was evaluated using the chronic constipation scoring system.Results BTX-A injection combinding pelvic floor biofeedback training achieved success in 24 patients just after the treatment and 23 in them maintained a persisted satisfaction during a mean period of 8.4 month.Conclusion BTX-A injection combinding pelvic floor biofeedback training seems to be successful for intractable anismus.
Constipation Anismus Biofeedback training Obstructed outlet constipation
Zhang Y He L Gao G Zhai Q Zeng XD
The constipation treatment center, Shenyang Coloproctology Hospital The department of function examination, Shenyang Coloproctology Hospital
国内会议
广州
英文
104-110
2013-08-01（万方平台首次上网日期，不代表论文的发表时间）