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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1558_Библиотеки_им_академика_М_И_Перельмана
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N
neurogenic
36, 96, 119, 122, 141, 142, 145, 157, 158, 191, 198,
199, 211, 234, 245, 293, 295–301, 312, 322, 354, 356
neuropathic incontinence 180, 182
neurophysiologic investigations 299, 300
O
Obesity
46
obstetric 10, 43, 46, 50–54, 56, 90, 91, 97, 101, 107, 108, 110–112,
119, 121, 123, 131, 135, 144, 145, 155, 172, 174, 176, 185, 221,
251, 255, 257, 273–280, 285, 287, 289, 310–312, 314, 332, 333,
338, 339, 353–355
obstetric fistula 273
obstetric injury 10, 43, 56, 101, 112, 121, 251, 257, 273, 279, 333,
339, 354
obstetric lesions 144, 273, 285
occult sphincter injury 274, 280
outlet obstruction 15, 57, 123, 124, 216, 219
overflow incontinence 36, 46, 48, 57, 91, 164, 312, 318, 320
overlapping repair 10, 275, 278, 279, 287, 288
P
palpation
89, 90, 120, 136, 227, 277, 332
– anocutaneous reflex 99, 211
parasympathetic nerves 7, 9, 44, 241, 242
Parkinson’s disease 43, 47, 74, 294, 295, 332, 353
Pathophysiology 13, 14, 35, 40, 45, 47, 50, 53, 55, 57, 89, 98,
102, 136, 137, 143, 144, 154, 163, 167, 169, 211, 215, 241, 243,
255, 308, 311, 318, 323, 331, 332, 354, 356
patient selection 131, 153, 155, 157–159, 199, 200, 209, 211, 213,
216, 218, 354
pediatric 145, 341, 342, 354, 355
pelvic floor 3–6, 8, 11, 13–15, 35, 36, 44, 53, 54, 57, 74, 90, 91,
95–97, 100, 107–109, 114, 119, 120, 123, 124, 129–132, 135, 136,
140–143, 148, 149, 154, 156, 167, 168, 172, 179–182, 185, 186,
191, 196, 201, 205, 211, 216, 219, 227, 235, 243, 244, 261–263,
267, 276, 280, 293, 294, 296, 300, 301, 310–314, 320, 322,
331–335, 339
pelvic radiation 325
pelvic radiotherapy 45, 50, 98, 144, 242, 325, 328
pelvic radiotherapy for rectal cancer 328
– side-effects 9, 80, 164, 186, 313, 321, 325, 328
pelvic surgery 45, 135, 257
perineal
– body
18, 91, 108, 121, 130, 136, 138, 172, 173, 205, 243, 277, 333
– descent 8, 49, 58, 90, 99, 120, 133, 142, 144, 155, 156, 179,
198, 199, 243, 277, 312, 314, 334
– laceration 10, 53, 205, 274, 285–291, 332, 333
perineum 54, 89, 90, 91, 97, 100, 109, 130, 136, 168, 185, 187,
199, 208, 214, 273, 275, 276, 279, 294, 298, 312, 318, 320, 333, 343
peripheral nerve evaluation (PNE) 199, 214, 236, 244, 245, 329
peripheral neuropathies 145, 298, 356
physical activity 27, 205
physical examination 89, 103, 135, 136, 148, 149, 153, 164, 277,
311, 318, 320, 323, 354
physiological test 50, 98, 102, 103, 154, 233, 245, 300, 319
postanal repair 93, 119, 155, 156, 179–181, 234, 235, 264, 267,
278, 314, 322
prevalence 17–21, 43, 48, 49, 50, 51, 60, 61, 119, 182, 193, 253,
273–276, 285, 287, 290, 291, 293, 295, 296, 298, 299, 307, 308,
314, 317, 331, 332, 353
Proctography 37, 57, 123, 179, 180, 182, 262, 335
psychological factors 67, 70, 80
psychological treatment 69
psychosexual functioning 68, 69
pubococcygeus 3, 4, 95, 130, 131, 181
puborectalis 3–9, 13, 36, 37, 44, 91, 95–98, 100, 107–112, 114,
120, 130, 132, 136, 138, 141, 168, 172, 173, 179–181, 243, 253,
268, 277, 278, 294, 299, 300, 310, 317–320, 322, 354
pudendal nerve terminal motor latency (PNTML) 101, 102,
111, 119, 120, 141–145, 149, 154–156, 158, 172, 176, 180, 182, 186,
233–236, 242–244, 262, 267, 301, 310, 312, 314, 322, 332, 334
Q
quality of life (QOL)
18, 21, 43, 48, 67, 68, 73–75, 80, 81, 84, 92,
119, 135, 136, 153, 154, 159, 169, 193, 195, 197, 198, 202, 205,
212–214, 229, 241–243, 253, 255, 256, 264, 286, 288, 290, 293,
296, 301, 311, 314, 331, 339, 346, 349, 354
questionnaires 17–19, 21, 93, 159, 195, 213, 221, 229, 242, 323
R
radiofrequency energy
221, 229, 230
Radiotherapy 45, 50, 98, 144, 145, 198, 218, 242, 243, 246, 256,
325, 326, 327, 328
rectal cancer 241–245, 256, 257, 259, 312, 325, 327, 328, 356
receptors 6, 14, 100, 294, 321
rectal evacuatory disorder 43, 45, 47, 57
rectal motility 36, 176, 215, 293, 308, 309
rectal prolapse 29, 45, 58, 90, 97–99, 114, 119, 123, 124, 136,
142, 144, 145, 148, 157, 158, 169, 180, 186, 198, 209, 215, 245,
255, 261–264, 278, 312, 313, 320, 332
rectal resection 9, 50, 144, 145, 215, 241, 243–246
rectal sensations 136, 137, 144, 156
rectocele 14, 49, 57, 90, 91, 119, 123, 136, 142–145, 186, 208, 251,
255, 332
Rectopexy 58, 261, 262, 267
rectovaginal fistula 90, 277, 279, 283
rehabilitation 80, 83, 153–155, 167, 168, 296
relaxation 5, 7–9, 35, 36, 40–49, 58, 96, 97, 101, 137, 138, 144,
168, 191, 215, 255, 277, 294, 296, 300, 308–311, 333
research 13–15, 21, 68, 73–76, 91, 112, 114, 127–129, 131, 149,
195, 203, 215, 216, 277, 311, 314, 336, 339, 353–355
reservoir incontinence 48, 319, 321
resting
– pressure
7, 9, 36, 46, 48, 56, 96, 137, 155, 156, 169, 172, 197,
215, 223, 236, 242, 243, 245, 252, 254–256
– tone 7, 9, 14, 36, 37, 44, 53, 56, 96, 136, 168, 205, 245, 299, 318
risk factors 15, 17, 43, 45–48, 50, 51, 54, 56, 58, 97, 105, 182, 242,
275, 276, 295, 307, 311, 317, 354, 355
risk of fecal incontinence 98, 297, 325, 327, 328
S
sacral nerve stimulation (SNS)
13, 40, 120, 143, 148, 155, 157,
190, 198, 199, 211, 215, 218, 221, 227, 243–245, 263, 264, 280,
314, 320, 322, 329, 353, 354
sacral reflexes 8, 300
saline infusion test 102
sensory retraining 144, 154, 167, 168
severity 21, 43, 53, 68, 70, 75, 76, 89, 91, 92, 93, 97, 98, 110, 132,
136, 149, 153, 200, 233, 234, 242, 243, 253, 276, 277, 286, 290,
291, 295, 300, 308, 311, 354, 355
Subject Index
361
severity scores 91, 93, 149
– grading scales 91, 92, 93
– summary scales 91, 92, 93
Sexuality 68
shame 67, 68, 69, 71, 74–76, 84
Short Form–36 229
social aspects 79
soiling 18–21, 36, 43, 45–47, 50, 51, 55–57, 89, 92, 94, 98, 111,
120, 135, 136, 154, 241–243, 256, 261, 277, 293, 297, 314,
317–319, 342, 343–349
sphincter
– atrophy
107, 110, 113, 122, 123, 143–145, 267, 269, 322
– defect 9, 10, 40, 53–57, 91, 96, 97, 101, 107, 110–114,
119–123, 127, 131, 143, 144, 148, 155, 171, 172, 179, 182,
186, 189, 229, 234, 243, 251, 254, 255, 267, 273–280, 312,
322, 335
– reconstruction 120, 209, 354
– repair 101, 102, 107, 110, 111, 113, 114, 119, 124, 128,
171–173, 180, 190, 211, 218, 221, 229, 243, 267, 273–279,
286–289
– tears 53, 54, 124, 135, 139, 143, 157, 273, 275, 333, 353, 355, 356
– tone 7, 8, 14, 40, 48, 57, 91, 100, 101, 163, 164, 277, 300,
310, 312
Sphincteroplasty 125, 128, 143, 145, 148, 149, 155, 156, 169,
171–174, 176, 205, 207, 229, 234, 235, 243, 277–280, 314, 322,
335, 355
spinal cord disease 296
squeeze
– tone
100, 136, 243
– pressure 44, 46–48, 50, 53, 56, 96, 100, 113, 119, 136, 137,
143, 149, 156, 172, 174, 182, 186, 205, 206, 215, 222, 229, 233,
242–245, 254–256, 277, 299, 308–312, 327, 328
squeezing 136, 140, 142, 168, 194, 236, 242, 243, 300
stigma 18, 46, 67–70, 89, 331, 354
stimulator 49, 156, 157, 186–188, 216, 218, 244, 275
stress 58, 68, 74, 75, 80, 89, 168, 173, 221–224, 289, 308, 310, 331,
332, 334, 340, 346
stroke 29, 36, 47, 80, 97, 98, 295, 353
Surgery 7, 13, 29, 36, 45, 49, 50, 54–57, 83, 89, 90, 92, 97, 98, 101,
102, 107, 110–114, 119, 120, 128, 131, 135, 143, 144, 148, 149,
154, 176, 180, 190, 193, 196–198, 200, 202, 205, 206, 208, 222,
223, 242, 243, 251, 253–256, 262–264, 267, 268, 276, 297, 298,
314, 317, 318, 320, 322, 325–328, 346, 348, 354, 355
– alone 50, 242, 325, 326, 327
– combined 327
– long-course postoperative radiotherapy 325
surgical treatments 221
sympathetic nerves 6, 7, 9, 44, 241, 242, 293, 310
T
thermal lesions
221, 230
Three-dimensional (3D) 107, 121, 127, 129, 131, 132, 267, 268,
335
Threshold 6, 36, 49, 101, 137, 141, 142, 154, 168, 213, 215, 216,
233, 235, 242, 243, 253, 300, 301, 310, 322, 323
transanal irrigation 329
Transperineal ultrasonography 130
transposition 185–187, 205, 207, 208, 235, 243, 280
Transvaginal ultrasonography 130
treatment evaluation 153, 155, 157, 159
treatment of fecal incontinence 127, 163, 169, 199, 207, 211,
218, 220, 233–236, 328
Two-dimensional (2D) 121, 127, 129, 139
U
ultrasound
50, 51, 53–55, 57, 58, 96, 97, 107, 109–111, 113,
119–121, 123, 131, 132, 136, 138–140, 142, 144, 148, 154, 158,
164, 172, 174, 179, 180, 182, 206, 221, 223–225, 227, 230, 233,
241–245, 251, 252, 254–256, 262, 267, 269, 273–277, 279, 280,
299, 332, 335, 355
urge incontinence 36, 37, 50, 97–99, 119, 135, 331, 334, 335
Urgency 10, 13, 35–37, 43, 49–51, 57, 58, 89, 92, 93, 97, 98, 101,
128, 138, 144, 164, 172, 198, 254, 274, 295, 313, 325–328, 331, 334
urinary incontinence 47, 48, 68, 73, 82, 84, 97, 142, 168, 201,
221–224, 241, 242, 261, 276, 294–296, 299, 305, 310, 327, 331,
343, 353, 356
V
Voxel
129
W
weakness
14, 47, 48, 73, 74, 90, 92, 93, 96, 97, 100, 101, 124, 132,
145, 211, 213, 225, 294, 296, 298–301, 310, 312–314, 317–319,
320, 321, 328, 354
well-being 75
362
Subject Index
Printed in May 2007
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