Riss Stefan, Stift Anton
Stefan Riss, Anton Stift, Department of General Surgery, Medical University of Vienna, A-1090 Vienna, Austria.
World J Gastroenterol. 2015 Jan 7;21(1):1-5. doi: 10.3748/wjg.v21.i1.1.
Obstructive defecation syndrome (ODS) is a common disorder with a considerable impact on the quality of life of affected patients. Surgery for ODS remains a challenging topic. There exists a great variety of operative techniques to treat patients with ODS. According to the surgeon's preference the approach can be transanal, transvaginal, transperineal or transabdominal. All techniques have its advantages and disadvantages. Notably, high evidence based studies are significantly lacking in literature, thus making accurate assessments difficult. Careful patient's selection is crucial to achieve optimal functional results. It is mandatory to assess not only defecation disorders but also evaluate overall pelvic floor symptoms, such as fecal incontinence and urinary disorders for choosing an appropriate and tailored strategy. Radiological investigation is essential but may not explain complaints of every patient.
梗阻性排便综合征（ODS）是一种常见疾病，对受影响患者的生活质量有相当大的影响。ODS的手术治疗仍然是一个具有挑战性的话题。治疗ODS患者有各种各样的手术技术。根据外科医生的偏好，手术途径可以是经肛门、经阴道、经会阴或经腹。所有技术都有其优缺点。值得注意的是，文献中严重缺乏高证据水平的研究，因此难以进行准确评估。仔细选择患者对于获得最佳功能结果至关重要。为了选择合适且量身定制的策略，不仅要评估排便障碍，还必须评估整个盆底症状，如大便失禁和排尿障碍。影像学检查至关重要，但可能无法解释每个患者的症状。
