Xue Weisong, Chi Pan
Department of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2014 Jun;17(6):628-30.
The progress in the idea and technology of rectal cancer improve the rate of sphincter-preservation, while bowel dysfunction is the major problem puzzling patients after sphincter-preserving operation. Recent researches reveal bowel dysfunction is closely associated with the postoperative change of anatomy, nerve damage and sphincter functional injury based on the mechanism of defecation function change through the analysis of anatomy, physiology and dynamics. This paper summarizes the mechanism and epidemiology of bowel dysfunction after rectal cancer operation, and elucidate the role of such mechanism in treatment and prevention of above bowel dysfunction.
直肠癌理念与技术的进步提高了保肛率，而肠功能障碍是保肛手术后困扰患者的主要问题。近期研究表明，通过对排便功能改变机制进行解剖学、生理学及动力学分析发现，肠功能障碍与术后解剖结构改变、神经损伤及括约肌功能损伤密切相关。本文总结了直肠癌术后肠功能障碍的机制及流行病学情况，并阐述了该机制在上述肠功能障碍治疗及预防中的作用。
