gastro-jРоссийский журнал гастроэнтерологии, гепатологии, колопроктологииRussian Journal of Gastroenterology, Hepatology, Coloproctology1382-43762658-6673«Gastro» LLCgastro-j-1071Research ArticleНОВОСТИ КОЛОПРОКТОЛОГИИNEWS OF COLOPROCTOLOGYСовременные возможности улучшения функционального состояния запирательного аппарата у пациентов с наличием превентивных кишечных стомImprovement of anal sphincter function before preventive stoma closure: modern optionsФоменкоО. Ю.FomenkoO. Yu.

Фоменко Оксана Юрьевна—руководитель лаборатории клинической патофизиологии

123423, Москва, ул. Саляма Адиля, д.2

Fomenko Oksana Yu. — head of clinical pathophysiology laboratory 

123423, Moscow, Salyama Adilya street, 2

Oksana671@yandex.ruАчкасовС. И.AchkasovS. I.ТитовА. Ю.TitovA. Yu.АлешинД. В.AleshinD. V.КалашниковаА. И.KalashnikovaA. I.БелоусоваС. В.BelousovaS. V.ЕгороваД. В.YegorovaD. V.ФГБУ «Государственный научный центр колопроктологии им А.Н. Рыжих» Минздрава РоссииРоссияFederal government-financed institution «Ryzhih State Scientific Center of Coloproctology» Ministry of healthcare of the Russian FederationRussian Federation2015301020152557783Copyright © Фоменко О.Ю., Ачкасов С.И., Титов А.Ю., Алешин Д.В., Калашникова А.И., Белоусова С.В., Егорова Д.В., 20152015Фоменко О.Ю., Ачкасов С.И., Титов А.Ю., Алешин Д.В., Калашникова А.И., Белоусова С.В., Егорова Д.В.Fomenko O.Y., Achkasov S.I., Titov A.Y., Aleshin D.V., Kalashnikova A.I., Belousova S.V., Yegorova D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gastro-j.ru/jour/article/view/1071

Цель исследования. Изучить возможность улучшения функционального состояния запирательного аппарата отключенной кишки с помощью БОСтерапии и тибиальной нейромодуляции.Материал и методы. В исследование включены 23 пациента с превентивной стомой. В целях диагностики использовались профилометрия и сфинктерометрия. Лечение: 10-дневный цикл БОС-терапии и тибиальной нейромодуляции.Результаты. После лечения выявлено статистически значимое увеличение показателей среднего давления в покое по данным профилометрии, а при сфинктерометрии и при волевом усилии.Выводы. Мышечные структуры отключенного запирательного аппарата реагируют на занятия БОС-терапией и проведение тибиальной нейромодуляции, увеличивая как тонус, так и силу волевых сокращений.

Aim of investigation

Aim of investigation. To investigate options of improvement of anal sphincter function of defunctioning loop by BFT and tibial nerve stimulation.

Material and methods

Material and methods. Overall 23 patients with preventive stoma were included in original investigation. Diagnostic profilometry and sphincterometry were carried out. Treatment included BFT and tibial nerve stimulation for 10 days. Results. After treatment profilometry revealed statistically significant increase of mean resting pressure, while sphincterometry — at conation as well.

Conclusions

Conclusions. Muscular structures of the defunctioning anal sphincter respond to BFT and tibial nerve stimulation, increasing both tension and force of voluntary contractions.

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The authors declare that there are no conflicts of interest present.