Kroesen A J
Abteilung für Allgemein-, Viszeral- und Unfallchirurgie, Krankenhaus Porz am Rhein, Köln.
Chirurg. 2013 Jan;84(1):15-20. doi: 10.1007/s00104-012-2348-0.
Conservative treatment of fecal incontinence and obstructive defecation can be treated by many conservative treatment modalities. This article presents the options of medication therapy, spincter exercises, electric stimulation, transcutaneous tibial nerve stimulation, anal irrigation and injection of bulking agents. These methods are presented with reference to the currently available literature but the evidence-based data level for all methods is low. For minor disorders of anorectal function these conservative methods can lead to an improvement of anorectal function and should be individually adapted.
大便失禁和排便梗阻的保守治疗可通过多种保守治疗方式进行。本文介绍了药物治疗、括约肌锻炼、电刺激、经皮胫神经刺激、肛门冲洗和注射填充剂等治疗方法。这些方法是参考当前可得文献提出的，但所有方法的循证数据水平都较低。对于轻度肛门直肠功能障碍，这些保守方法可改善肛门直肠功能，且应进行个体化调整。
