Grigovich I N, Piattoev Iu G, Iudin A A
Klin Khir (1962). 1991(6):49-52.
The results of surgical treatment of II-III degree incontinence of feces in 6 patients previously operated on for anorectal anomaly are presented. Clinico-functional examination permitted topical verification of damage to rectal sphincter apparatus. Sphincterolevatoroplasty with the use of a posterior sagittal approach was performed. The given approach permitted maximum use of the preserved muscular elements of the obturator apparatus. In a number of cases sphincterolevatoroplasty was combined with smooth muscle plasty of the internal anal sphincter from the distal colon. The functional results followed in 5 patients were considered as good and satisfactory ones.
本文介绍了6例曾因肛门直肠畸形接受手术治疗的患者II - III度大便失禁的手术治疗结果。临床功能检查可局部验证直肠括约肌装置的损伤情况。采用后矢状入路进行括约肌提肌成形术。该入路可最大程度利用闭孔装置保留的肌肉成分。在一些病例中,括约肌提肌成形术与来自远端结肠的肛门内括约肌平滑肌成形术相结合。5例患者的功能结果被认为良好且令人满意。