Unit of Colorectal Surgery, Department of General Surgery, Hospital Universitari MútuaTerrassa, University of Barcelona, Plaça Dr. Robert, 5, 08221, Terrassa, Barcelona, Spain.
Tech Coloproctol. 2018 Feb;22(2):89-95. doi: 10.1007/s10151-017-1742-5. Epub 2018 Jan 16.
The aim of the present study was to evaluate the effectiveness of sacral neuromodulation (SNM) as a treatment for congenital faecal incontinence (FI).
A retrospective study was conducted on patients with congenital FI who had SNM surgery at our institution between October 2005 and June 2013. An initial percutaneous nerve evaluation was performed, and patients with an improvement of more than 50% in their symptoms had permanently implants for SNM treatment.
There were 4 patients who received a permanent implant. Mean duration of follow-up was 67.5 months (range 45-135 months). At last follow-up, 2 patients maintained significant improvement with SNM, 1 was explanted after 4 years of treatment due to infection but remained asymptomatic and SNM failed in the remaining patient who went on to graciloplasty.
SNM may be of value for treating FI in patients with anorectal malformations.
本研究旨在评估骶神经调节（SNM）作为先天性粪便失禁（FI）治疗方法的有效性。
对 2005 年 10 月至 2013 年 6 月在我院接受 SNM 手术的先天性 FI 患者进行回顾性研究。进行初始经皮神经评估，症状改善超过 50%的患者行永久性 SNM 治疗植入。
有 4 名患者接受了永久性植入。平均随访时间为 67.5 个月（45-135 个月）。末次随访时，2 名患者 SNM 治疗效果显著，1 名患者因感染治疗 4 年后被取出，但仍无症状，1 名患者 SNM 失败后改行臀大肌肌皮瓣移植术。
SNM 可能对治疗肛门直肠畸形患者的 FI 有价值。
