慢性盆底痛痛性结节在两侧髂尾肌不同表现的探讨  

Study on Different Expressions of Painful Nodes at Left or Right Lateral of Iliococcygeal Muscle of Chronic Pelvic-f｜oor Pain Patients

作　　者：刘百羽[1] 刘同辉 

机构地区：[1]济南军区青岛第一疗养院肛肠科,山东青岛266071 [2]解放军71239部队医院,山东即墨266200

出　　处：《中国肛肠病杂志》2012年第12期44-46,共3页Chinese Journal of Coloproctology

摘　　要：为探讨慢性盆底痛痛性结节在两侧髂尾肌的表现差异，我们对171例慢性盆底痛患者进行卣肠指诊时，仔细触摸两侧髂尾肌，探查痛性结节。结果发现，盆底痛患者其髂尾肌内侧缘呈僵硬束带状，其中线附近可触及痛性结节，结节大小不一，形状各异，质硬，表面光滑，固定，压迫结节处疼痛明显，其余区域则无疼痛或疼痛不明显。其中髂尾肌左侧结节出现率为69．59％（119／171），右侧结节出现率为26．90％（46／171），两侧均有结节出现率为3．51％（6／171）。髂尾肌左侧结节出现率明显高于右侧，P〈0．05。髂尾肌左侧出现结节者，疼痛程度重；髂尾肌右侧出现结节者，疼痛程度轻。In order to investigate the expression dissimilar of painful nodes at left or right lateral of iliococ- cygeal muscle in chronic pain patients,during digital examination for rectum in 117 patients with chronic pelvic-floor pain authors carefully touch bilaterals of iliococcygeal muscle so as to explore painful node. As results,the internal lateral margin of iliococcygeal muscle became spastic bundle-band shape over middle- line of which painful nodes were touched;the nodes showed different sizes and forms, hard quality, smooth surface and stable situation, and pain of patients was more significant if pressing the nodes, but touching other area there was no pain,or not significant;left lateral occurence rate was 69.59%（119/171）,right lat- eral rate,26.90G（46/171）,both left and right laterals,3.51G（6/17）,apparently,left lateral rate was sig nificantly higher than right one （ P 〈0. 05） ;also when node happening at left lateral, pain was more se- vere, while at right lateral, more mild.

关 键 词：盆底痛 髂尾肌 痛性结节 出现率 差异 

分 类 号：R699.8[医药卫生—泌尿科学]