At Takano Hospital, anorectal function tests are carried out to evaluate the anorectal function of patients with fecal incontinence. The aim of this study was to first calculate the normal reference values of anal manometry [functional anal canal length (HPZ) · maximum resting pressure (MRP) · maximum squeeze pressure (MSP)], and the anal canal sensation of approximately 5,000 patients who underwent the test from 2003 to 2009, and then compare the anal pressure of the incontinent patients with that of the non-incontinent patients. The findings revealed that the pressure of the patients with fecal incontinence was significantly lower than that of the non-incontinent patients, that patients with a lower MRP had more severe symptoms of fecal incontinence, that half of the patients with a pressure reading of less than 50 cm H2O had fecal incontinence, and that the anal canal sensation of the incontinent patients was significantly slower than that of the non-incontinent patients. These findings suggest that the above-mentioned tests can be used to objectively evaluate anal function, identify the patients with fecal incontinence, and provide positive feedback to patients to help them become more aware of the optimal anorectal function that they should aspire to attain.
"},{"@language":"ja","@value":"当院では，便失禁患者に対し，直腸肛門機能検査で直腸肛門機能の評価を行っている。今回，2003年から2009年に検査を施行した約5,000人の結果から肛門内圧検査（機能的肛門管長（HPZ）・最大静止圧（MRP）・最大随意収縮圧（MSP）と肛門管感覚検査の正常参考値を検討し，便失禁の有無による比較検討を行った。便失禁患者は非失禁患者より肛門内圧が有意に低下し，中でもMRPは低くなるにつれて，便失禁症状が重症化する傾向を認め，50 cm H2O以下の症例は，半数が便失禁を来していた。肛門管感覚は，便失禁患者が非失禁患者より有意に鈍化していた。これらの検査は，肛門機能を客観的に評価し，便失禁治療を選択でき，治療効果の判定にも用いることができるので，患者の治療に対する意識付けとしても有用と考えた。
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001205577417733","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345408981"}],"foaf:name":[{"@language":"ja","@value":"中島 みどり"},{"@language":"en","@value":"NAKASHIMA Midori"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Clinical Laboratory, Takano Hospital"},{"@language":"ja","@value":"社会医療法人社団高野会高野病院検査科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205742417541","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000392141271"}],"foaf:name":[{"@language":"ja","@value":"吉田 佳代"},{"@language":"en","@value":"YOSHIDA Kayo"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Clinical Laboratory, Takano Hospital"},{"@language":"ja","@value":"社会医療法人社団高野会高野病院検査科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205742417536","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000392141273"}],"foaf:name":[{"@language":"ja","@value":"尾島 優子"},{"@language":"en","@value":"OJIMA Yuko"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Clinical Laboratory, Takano Hospital"},{"@language":"ja","@value":"社会医療法人社団高野会高野病院検査科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205742417542","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000392141274"}],"foaf:name":[{"@language":"ja","@value":"高野 正太"},{"@language":"en","@value":"TAKANO Shota"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Surgery, Takano Hospital"},{"@language":"ja","@value":"社会医療法人社団高野会高野病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205742417538","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000392141275"}],"foaf:name":[{"@language":"ja","@value":"西 勝英"},{"@language":"en","@value":"NISHI Katsuhide"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Surgery, Medicine, Sakurajyuzi Hospital"},{"@language":"ja","@value":"桜十字病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205577417732","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000256624623"}],"foaf:name":[{"@language":"ja","@value":"山田 一隆"},{"@language":"en","@value":"YAMADA Kazutaka"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Surgery, Takano Hospital"},{"@language":"ja","@value":"社会医療法人社団高野会高野病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205742417540","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000392141277"}],"foaf:name":[{"@language":"ja","@value":"高野 正博"},{"@language":"en","@value":"TAKANO Masahiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Surgery, Takano Hospital"},{"@language":"ja","@value":"社会医療法人社団高野会高野病院外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09158669"},{"@type":"EISSN","@value":"21885346"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Medical Technology"},{"@language":"ja","@value":"医学検査"},{"@language":"en","@value":"Japanese Journal of Medical Technology"},{"@language":"ja","@value":"医学検査"}],"dc:publisher":[{"@language":"en","@value":"Japanese Association of Medical Technologists"},{"@language":"ja","@value":"一般社団法人 日本臨床衛生検査技師会"}],"prism:publicationDate":"2016","prism:volume":"65","prism:number":"4","prism:startingPage":"373","prism:endingPage":"380"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2016371780"}],"availableAt":"2016","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E4%BE%BF%E5%A4%B1%E7%A6%81","dc:title":"便失禁"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%9B%E9%96%80%E5%86%85%E5%9C%A7%E6%A4%9C%E6%9F%BB","dc:title":"肛門内圧検査"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%9B%E9%96%80%E7%AE%A1%E6%84%9F%E8%A6%9A%E6%A4%9C%E6%9F%BB","dc:title":"肛門管感覚検査"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%9C%80%E5%A4%A7%E9%9D%99%E6%AD%A2%E5%9C%A7","dc:title":"最大静止圧"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%9C%80%E5%A4%A7%E9%9A%8F%E6%84%8F%E5%8F%8E%E7%B8%AE%E5%9C%A7","dc:title":"最大随意収縮圧"},{"@id":"https://cir.nii.ac.jp/all?q=faecal%20incontinence","dc:title":"faecal incontinence"},{"@id":"https://cir.nii.ac.jp/all?q=anal%20manometry","dc:title":"anal manometry"},{"@id":"https://cir.nii.ac.jp/all?q=anal%20canal%20sensation","dc:title":"anal canal sensation"},{"@id":"https://cir.nii.ac.jp/all?q=maximum%20resting%20pressure%20(MRP)","dc:title":"maximum resting pressure (MRP)"},{"@id":"https://cir.nii.ac.jp/all?q=maximum%20squeeze%20pressure%20(MSP)","dc:title":"maximum squeeze pressure (MSP)"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2001196966"},{"@type":"CIA","@value":"130007040354"}]}