Bruch H P
Chirurgische Universitätsklinik Würzburg.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:729-33.
Stomatic continence is not comparable to the complicated system of the anorectal organ. Therefore, the definition of continence is ability to arbitrarily determine defecation but with some restriction. It further means the nonreliance on a stoma bag for the intervals between defecation. Continence is achieved by special diet, irrigation, laxatives and clysters. It can be supported by passive and active implants as well as surgical techniques which use smooth and striated muscle functions to imitate, to a certain extent, the muscular components of the anorectal organ.
口腔节制与肛门直肠器官的复杂系统不可相提并论。因此,节制的定义是能够在一定限制下自主控制排便。这进一步意味着在排便间隔期间不依赖造口袋。节制可通过特殊饮食、灌肠、泻药和灌肠剂来实现。它可以借助被动和主动植入物以及利用平滑肌和横纹肌功能在一定程度上模仿肛门直肠器官肌肉成分的外科技术来辅助达成。