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Acticon新括约肌的现状。

The current status of the Acticon Neosphincter.

作者信息

Gregorcyk Sharon G

机构信息

Department of Surgery, The University of Texas Southwestern Medical Center, Dallas, TX 75390-9156, USA.

出版信息

Clin Colon Rectal Surg. 2005 Feb;18(1):32-7. doi: 10.1055/s-2005-864078.

DOI:10.1055/s-2005-864078
PMID:20011337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2780132/
Abstract

Severe fecal incontinence is a very debilitating condition with a tremendous impact on an individual's life. In the past if a patient was not amenable to a tissue repair or failed a tissue repair, a colostomy was his or her only surgical option. New innovations have emerged giving patients more options to regain continence. The Acticon Neosphincter, which is an artificial bowel sphincter, is one of those newer options. The device is reserved for patients with severe fecal incontinence that is not amenable to lesser forms of therapy. Because it is an artificial device, the risk of infection is of particular concern. With experience, however, the infection rate has declined and the artificial bowel sphincter has become a good option for patients with severe fecal incontinence. The results are quite impressive with a significant number of patients obtaining complete continence.

摘要

严重大便失禁是一种极为使人衰弱的病症,对个人生活有着巨大影响。过去,如果患者不适合进行组织修复或组织修复失败,结肠造口术是其唯一的手术选择。新的创新方法出现后,为患者提供了更多恢复控便能力的选择。Acticon新型人造括约肌便是这些新选择之一。该装置适用于那些无法通过其他较轻治疗方式治愈的严重大便失禁患者。由于它是一种人造装置,感染风险尤其值得关注。然而,随着经验的积累,感染率有所下降,人造括约肌已成为严重大便失禁患者的一个不错选择。其效果相当显著,大量患者实现了完全控便。

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引用本文的文献

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2
Palpable abdominal mass and recurrent fecal incontinence due to failure of artificial bowel sphincter.因人工肛门括约肌功能障碍导致可触及的腹部肿块和反复出现的大便失禁。
Radiol Case Rep. 2018 Oct 17;14(1):66-68. doi: 10.1016/j.radcr.2018.08.024. eCollection 2019 Jan.
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Clin Colon Rectal Surg. 2016 Sep;29(3):264-70. doi: 10.1055/s-0036-1584504.
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5
Current management of fecal incontinence: choosing amongst treatment options to optimize outcomes.当前粪便失禁的治疗管理:选择治疗方案以优化治疗结局。
World J Gastroenterol. 2013 Dec 28;19(48):9216-30. doi: 10.3748/wjg.v19.i48.9216.

本文引用的文献

1
Attainment of continence with J-pouch and artificial bowel sphincter for concomitant imperforate anus and familial adenomatous polyposis: report of a case.使用J型贮袋和人工肛门括约肌实现肛门闭锁合并家族性腺瘤性息肉病患者的控便:病例报告
Dis Colon Rectum. 2004 Apr;47(4):538-41. doi: 10.1007/s10350-003-0074-x. Epub 2004 Feb 25.
2
Total anorectal reconstruction with the artificial bowel sphincter: report of eight cases. A quality-of-life assessment.人工肛门括约肌全直肠肛门重建术:8例报告及生活质量评估
Dis Colon Rectum. 2003 Jun;46(6):730-4. doi: 10.1007/s10350-004-6649-3.
3
Artificial bowel sphincter: long-term experience at a single institution.人工肛门括约肌:单一机构的长期经验
Dis Colon Rectum. 2003 Jun;46(6):722-9. doi: 10.1097/01.DCR.0000070530.79998.86.
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Prospective study of artificial anal sphincter and dynamic graciloplasty for severe anal incontinence.人工肛门括约肌与动态股薄肌成形术治疗重度肛门失禁的前瞻性研究
Int J Colorectal Dis. 2003 Jul;18(4):349-54. doi: 10.1007/s00384-002-0472-x. Epub 2003 Feb 26.
5
Artificial anal sphincter in severe fecal incontinence: outcome of prospective experience with 37 patients in one institution.人工肛门括约肌治疗严重大便失禁:一家机构37例患者的前瞻性研究结果
Ann Surg. 2003 Jan;237(1):52-6. doi: 10.1097/00000658-200301000-00008.
6
Artificial anal sphincter: complications and functional results of a large personal series.人工肛门括约肌:一个大型个人病例系列的并发症及功能结果
Dis Colon Rectum. 2002 Sep;45(9):1154-63. doi: 10.1007/s10350-004-6382-y.
7
The safety and efficacy of the artificial bowel sphincter for fecal incontinence: results from a multicenter cohort study.人工肛门括约肌治疗大便失禁的安全性和有效性:一项多中心队列研究的结果。
Dis Colon Rectum. 2002 Sep;45(9):1139-53. doi: 10.1007/s10350-004-6381-z.
8
Complications and functional outcome following artificial anal sphincter implantation.人工肛门括约肌植入后的并发症及功能结局
Br J Surg. 2002 Jul;89(7):877-81. doi: 10.1046/j.1365-2168.2002.02137.x.
9
Artificial anal sphincter: prospective clinical and manometric evaluation.人工肛门括约肌:前瞻性临床与测压评估
Dis Colon Rectum. 2000 Aug;43(8):1100-6. doi: 10.1007/BF02236557.
10
Long-term results of artificial anal sphincter implantation for severe anal incontinence.人工肛门括约肌植入治疗重度肛门失禁的长期疗效
Ann Surg. 1999 Jul;230(1):45-8. doi: 10.1097/00000658-199907000-00007.