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中华临床医师杂志(电子版) ›› 2023, Vol. 17 ›› Issue (05) : 600 -604. doi: 10.3877/cma.j.issn.1674-0785.2023.05.018

综述

球海绵体肌反射在神经系统疾病中的临床应用研究进展
杨团峰, 王艳香, 刘献增()   
  1. 100026 北京,北京大学国际医院神经内科
  • 收稿日期:2022-04-01 出版日期:2023-05-15
  • 通信作者: 刘献增

Diagnostic value of bulbocavernosus reflex in nervous system diseases

Tuanfeng Yang, Yanxiang Wang, Xianzeng Liu()   

  1. Department of Neurology, Peking University International Hospital, Beijing 100026, China
  • Received:2022-04-01 Published:2023-05-15
  • Corresponding author: Xianzeng Liu
引用本文:

杨团峰, 王艳香, 刘献增. 球海绵体肌反射在神经系统疾病中的临床应用研究进展[J/OL]. 中华临床医师杂志(电子版), 2023, 17(05): 600-604.

Tuanfeng Yang, Yanxiang Wang, Xianzeng Liu. Diagnostic value of bulbocavernosus reflex in nervous system diseases[J/OL]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(05): 600-604.

球海绵体肌反射(BCR)的临床应用历史较长,BCR反映的是阴部传入神经、S2~S4节段、阴部传出神经整体骶髓反射弧的功能完整性,也常作为脊髓副交感神经功能的间接反映。BCR的检查过程相对简便,易于在门诊开展,BCR结合阴部神经躯体感觉诱发电位对神经系统病变有定位诊断价值。BCR有助于神经性勃起功能障碍、糖尿病阴部神经病变、脊髓相关疾病、神经系统变性疾病的诊断及鉴别,同时对于脊髓相关疾病手术,BCR是术中实时监测括约肌功能和性功能最有价值的手段。

Bulbocavernous reflex (BCR) has a long history of clinical application. It reflects the functional integrity of the whole sacral reflex arc consisting of the pudendal afferent nerve, S2-S4 spinal segments, and the pudendal efferent nerve, and is often an indirect reflection of the parasympathetic nerve function of the spinal cord. The BCR test is relatively simple and easy to carry out in the clinic. When combined with the pudendal nerve somatosensory evoked potentials, BCR has the value of localization diagnosis of nervous system diseases. BCR is helpful for the diagnosis and differentiation of neuroerectile dysfunction, diabetic pudendal neuropathy, spinal cord related diseases, and neurodegenerative diseases. In addition, BCR is the most valuable means for real-time monitoring of sphincter function and sexual function during surgery for spinal cord related diseases..

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