大便失禁的外科治疗
Surgical management for fecal incontinence.
作者信息
Anandam Joselin L
机构信息
Section of Colon and Rectal Surgery, Parkland Memorial Hospital, UT Southwestern School of Medicine, Dallas, Texas.
出版信息
Clin Colon Rectal Surg. 2014 Sep;27(3):106-9. doi: 10.1055/s-0034-1383902.
Abstract
Fecal incontinence is a socially debilitating condition that can lead to social isolation, loss of self-esteem and self-confidence, and depression in an otherwise healthy person. After the appropriate clinical evaluation and diagnostic testing, medical management is initially instituted to treat fecal incontinence. Once medical management fails, there are a few surgical procedures that can be considered. This article is devoted to the various surgical options for fecal incontinence including the history, technical details, and studies demonstrating the complication and success rate.
摘要
大便失禁是一种会使人在社交方面陷入困境的病症，它可能导致原本健康的人出现社交孤立、自尊和自信丧失以及抑郁等情况。经过适当的临床评估和诊断测试后，首先会采用药物治疗来处理大便失禁问题。一旦药物治疗失败，就可以考虑一些外科手术。本文致力于介绍大便失禁的各种手术选择，包括其历史、技术细节以及展示并发症和成功率的研究。
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本文引用的文献
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Lancet. 2011 Mar 19;377(9770):997-1003. doi: 10.1016/S0140-6736(10)62297-0.
2
SECCA procedure for the treatment of fecal incontinence: results of five-year follow-up.
Dis Colon Rectum. 2008 Mar;51(3):355-9. doi: 10.1007/s10350-007-9169-0. Epub 2008 Jan 19.
3
Patients' views of a colostomy for fecal incontinence.患者对用于大便失禁的结肠造口术的看法。
Dis Colon Rectum. 2005 May;48(5):1062-9. doi: 10.1007/s10350-004-0868-5.
4
Sacral neuromodulation in treatment of fecal incontinence following anterior resection and chemoradiation for rectal cancer.骶神经调节治疗直肠癌前切除及放化疗后大便失禁
Dis Colon Rectum. 2005 May;48(5):1027-36. doi: 10.1007/s10350-004-0884-5.
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7
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Br J Surg. 2004 Dec;91(12):1559-69. doi: 10.1002/bjs.4796.
8
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Dis Colon Rectum. 2004 May;47(5):727-31; discussion 731-2. doi: 10.1007/s10350-003-0114-6. Epub 2004 Mar 25.
9
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