Abbas Saleh M, Bissett Ian P, Neill Mischell E, Parry Bryan R
Colorectal Unit, Department of Surgery, University of Auckland, Auckland, New Zealand.
ANZ J Surg. 2005 Sep;75(9):783-6. doi: 10.1111/j.1445-2197.2005.03520.x.
Idiopathic faecal incontinence is a common debilitating problem; the results of surgical treatment are variable with only a small proportion of patients achieving full continence.
The aim of this study was to evaluate the long-term outcome of postanal repair in idiopathic faecal incontinence.
Patients who had postanal repair in Auckland between 1994 and 2001 were identified and mailed faecal incontinence severity index (FISI) and faecal incontinence quality of life (FIQOL) questionnaires. Preoperative and postoperative incontinence scores were compared and postoperative quality of life scores were calculated.
Forty-seven of the 66 patients who had undergone postanal repair from 1994 to 2001 completed the FIQOL questionnaire. FISI scores were complete on 44 patients. Comparison of preoperative and postoperative FISI scores revealed an improvement with mean scores of 34 and 23, respectively (P = 0.0001). Thirty (68%) patients had improved, including four who were fully continent. Fourteen patients were the same or worse.
Postanal repair provides lasting benefit for the majority of patients with faecal incontinence.
特发性大便失禁是一种常见的使人衰弱的问题；手术治疗的结果各不相同，只有一小部分患者能完全恢复控便能力。
本研究旨在评估特发性大便失禁患者行肛门后修复术的长期疗效。
确定1994年至2001年期间在奥克兰接受肛门后修复术的患者，并向其邮寄大便失禁严重程度指数（FISI）和大便失禁生活质量（FIQOL）问卷。比较术前和术后的失禁评分，并计算术后生活质量评分。
1994年至2001年接受肛门后修复术的66例患者中有47例完成了FIQOL问卷。44例患者的FISI评分完整。术前和术后FISI评分比较显示有改善，平均评分分别为34分和23分（P = 0.0001）。30例（68%）患者病情改善，其中4例完全恢复控便能力。14例患者病情无变化或恶化。
肛门后修复术对大多数大便失禁患者有持久益处。
