Schwandner O
Abteilung für Proktologie, Regensburger Enddarmzentrum, Krankenhaus Barmherzige Brüder, Regensburg, Deutschland.
Zentralbl Chir. 2012 Aug;137(4):323-7. doi: 10.1055/s-0032-1315104. Epub 2012 Aug 29.
Based on a variety of aetiological factors and combined disorders in faecal incontinence, a conservative treatment option as the primary treatment can be recommended. Conservative treatment includes medical therapy influencing stool consistency and stool passage, pelvic floor exercises and biofeedback as well as local treatment options. However, defining the role of conservative treatment concepts related to success or failure remains a challenging task. The lack of evidence derived from studies is related to a variety of reasons including inclusion criteria, patient selection, treatment standardisation, and the principal difficulty to objectively define functional success.
基于大便失禁的多种病因及合并症,可推荐将保守治疗作为主要治疗的首选方案。保守治疗包括影响大便稠度和排便的药物治疗、盆底肌锻炼和生物反馈以及局部治疗方案。然而,明确保守治疗理念与成功或失败的关系仍然是一项具有挑战性的任务。研究证据的缺乏与多种原因有关,包括纳入标准、患者选择、治疗标准化以及客观定义功能成功的主要困难。