Christiansen J
Department of Surgery II, Glostrup Hospital, Denmark.
Chirurgie. 1992;118(5):277-82; discussion 282-3.
Standard procedures for anal incontinence due to trauma (obstetric lesions, iatrogenic lesions in connection with anal surgery) have been overlapping suture of the external anal sphincter and, for idiopathic incontinence, postnatal repair according to Parks. In cases where these operations fail, or if a pronounced sphincter destruction is found, transposition of striated muscles (primarily the gracilis and the gluteus maximus) may be performed. In patients where the incontinence is due to a primary neurological disease, implantation of an artificial sphincter or a neurostimulator may be the only alternatives. The technique and the results of these newer operations for anal incontinence are presented.
因创伤导致的肛门失禁（产科损伤、与肛门手术相关的医源性损伤）的标准治疗方法一直是肛门外括约肌重叠缝合，而对于特发性失禁，则采用帕克斯法进行产后修复。在这些手术失败的情况下，或者如果发现括约肌严重受损，可以进行横纹肌移位术（主要是股薄肌和臀大肌）。对于因原发性神经疾病导致失禁的患者，植入人工括约肌或神经刺激器可能是唯一的选择。本文介绍了这些治疗肛门失禁的新手术技术及结果。
