Chatoor D R, Taylor S J, Cohen C R G, Emmanuel A V
Physiology Unit, University College Hospital, 235 Euston Road, London NW1 2BU, UK.
Br J Surg. 2007 Feb;94(2):134-44. doi: 10.1002/bjs.5676.
Faecal incontinence is a life style-limiting condition with multiple aetiologies. Surgical cure is not often possible.
A review of the literature was undertaken using Medline, Cochrane database and standard textbooks. Advanced imaging techniques now inform the treatment algorithm and objectively assess success. The long-term outcome of anal surgery is uncertain. Modern approaches favour conservative measures, such as biofeedback, and less invasive surgical procedures. Stoma formation is a definitive option for some patients.
Current treatment of faecal incontinence is evolving from a sphincter-focused view to a more holistic one, recognizing the influence of the pelvic floor and psyche in maintaining continence. Modern imaging modalities direct treatment strategies.
大便失禁是一种限制生活方式的病症，病因多样。手术治愈通常不太可能。
使用医学期刊数据库（Medline）、考克兰数据库（Cochrane database）和标准教科书对文献进行了综述。先进的成像技术如今为治疗方案提供依据，并客观评估治疗效果。肛门手术的长期效果尚不确定。现代方法倾向于采取保守措施，如生物反馈疗法，以及侵入性较小的手术操作。造口术对一些患者来说是一种确定性的选择。
目前对大便失禁的治疗正从以括约肌为重点的观点向更全面的观点转变，认识到盆底和心理因素对维持控便能力的影响。现代成像方式指导治疗策略。
