치골직장근 이완부전증 환자에 대한 생체되먹이기 치료 - 진단방법에 따른 치료효과의 차이가 있는가? -
Biofeedback Therapy in Patients with Nonrelaxing Puborectalis Syndrome -Are there differences of therapeutic effect according to methods of diagnosis? -
정재헌, 최정석, 서용준, 김준현,
소속 상세정보
정재헌 ( Jeong Jae-Heun )
춘해병원 일반외과
최정석 ( Choi Jeong-Seok )
춘해병원 일반외과
서용준 ( Seo Yong-Jun )
춘해병원 일반외과
김준현 ( Kim Jun-Hyun )
춘해병원 일반외과
KMID : 0356720010170010026
Abstract
Purpose: To evaluate therapeutic effect of biofeedback therapy according to methods of diagnosis in patients with norelaxing puborectalis syndrome.
Methods: From September, 1, 1998 to February, 30, 1999, the patients who were diagnosed with norelaxing puborectalis syndrome on anal electromyography (EMG) and/or cinedefecography (CD) underwent biofeedback therapy. The patients were divided into 3 groups according to the diagnostic method; CD group - only diagnosed on cinedefecography, EMG group - only diagnosed on anal electromyography, CD EMG group - diagnosed on both tests.
Results: Nineteen patients were diagnosed nonrelaxing puborectalis syndrome on CD and/or EMG. There were 14 females and 5 males with a mean age of 40.8 18.4 years. The patients were classified into CD group; five patients (26.3%); EMG group, eight patients (42.1%); CD EMG group, six patients (31.6%). The patients had 5.4 3.7 sessions of outpatient EMG-based biofeedback sessions. Subjective symptoms after biofeedback therapy improved in 4 (80.0%), 6 (75%), 5 (83%) patients in CD, EMG, CD EMG groups, respectively. There was a statistically significant increase in spontaneous bowel movements, and a reduction in assisted bowel movements after biofeedback therapy in patients in all three groups (p＜0.05). However, no significant difference was found among the three groups.
Conclusion: This study demonstrated that biofeedback therapy had a high therapeutic effect regardless to the diagnostic method. Therefore, biofeedbck therapy can be performed if one test results in the diagnosis of norelaxing puborectalis
syndrome in patients with constipation.
키워드
치골직장근 이완부전증;생체되먹이기 치료;배변영화조영술;근전도 검사
Nonrelaxing puborectalis syndrome;Biofeedback therapy;Cinedefecography;Electromyography
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