Wexner Steven D, Bleier Joshua
a 1 Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331, USA.
b 2 University of Pennsylvania Health System, Department of Surgery, 800 Walnut St. 20th Floor, Philadelphia, PA 19106, USA.
Expert Rev Gastroenterol Hepatol. 2015;9(12):1577-89. doi: 10.1586/17474124.2015.1093417. Epub 2015 Sep 28.
Fecal incontinence is a devastating condition, vastly under-reported, and may affect up to 18% of the population. While conservative management may be efficacious in a large portion of patients, those who are refractory will likely benefit from appropriate surgical intervention. There are a wide variety of surgical approaches to fecal incontinence management, and knowledge and experience are crucial to choosing the appropriate procedure and maximizing functional outcome while minimizing risk. In this article, we provide a comprehensive description of surgical options for fecal incontinence to help the clinician identify an appropriate intervention.
大便失禁是一种严重的疾病，其报告率极低，可能影响高达18%的人群。虽然保守治疗可能对大部分患者有效，但那些难治性患者可能会从适当的手术干预中获益。治疗大便失禁有多种手术方法，知识和经验对于选择合适的手术方式、在将风险降至最低的同时最大化功能结果至关重要。在本文中，我们全面介绍了大便失禁的手术选择，以帮助临床医生确定合适的干预措施。
