Read N W
Sub-Department of Gastrointestinal Physiology & Nutrition, Royal Hallamshire Hospital, Sheffield.
Ciba Found Symp. 1990;151:119-35; discussion 135-8. doi: 10.1002/9780470513941.ch7.
The functional ability of the anorectum to maintain continence is best assessed by a provocative assessment of continence to a standard load of rectally infused saline. Faecal incontinence is not caused by one condition. The combination of multiport anorectal manometry, electrophysiology and rectal sensory testing can identify several causes, which logically require different treatments. Only time and carefully conducted trials will establish whether such functional testing will be useful.
通过对直肠注入标准量生理盐水后的控便能力进行激发性评估，能最好地判断肛门直肠维持控便的功能能力。大便失禁并非由单一病症引起。多通道肛门直肠测压、电生理学和直肠感觉测试相结合可找出多种病因，从逻辑上讲，这些病因需要不同的治疗方法。只有时间以及精心开展的试验才能确定这种功能测试是否有用。
