Margolin David A
Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, LA.
Ochsner J. 2008 Spring;8(1):18-24.
Fecal incontinence, the loss of anal sphincter control leading to the unwanted release of stool or gas, is a physical and psychological handicap that has a tremendous impact on an individual's quality of life. Although medical management is the mainstay of therapy for fecal incontinence, the main focus in this review is on invasive techniques with a goal of highlighting newer technologic and therapeutic advancements. While the standard surgical treatment for fecal incontinence still remains direct sphincter repair with an overlapping sphincteroplasty, this review concentrates specifically on biofeedback, the Procon incontinence device, local injection of synthetic materials, radio frequency energy (Secca procedure), antegrade colonic enemas, sphincteroplasty, gluteoplasty, graciloplasty both stimulated and non-stimulated, the artificial bowel sphincter, and sacral nerve stimulation.
大便失禁是指肛门括约肌控制能力丧失，导致粪便或气体不自主排出，它是一种生理和心理上的障碍，对个人生活质量有巨大影响。虽然药物治疗是大便失禁治疗的主要手段，但本综述的主要重点是侵入性技术，目的是突出新的技术和治疗进展。虽然大便失禁的标准外科治疗仍然是直接括约肌修复和重叠括约肌成形术，但本综述特别关注生物反馈、Procon失禁装置、合成材料局部注射、射频能量（Secca手术）、顺行结肠灌肠、括约肌成形术、臀肌成形术、刺激和非刺激的股薄肌成形术、人工肛门括约肌以及骶神经刺激。
