Hospital Vithas Valencia 9 de Octubre, Valencia, Spain.
Consorcio Hospital General Universitario de Valencia, Valencia, Spain.
Cir Esp (Engl Ed). 2022 Sep;100(9):580-584. doi: 10.1016/j.cireng.2022.06.024. Epub 2022 Jun 11.
Several groups studying the results of the classic sphincteroplasty show improvement of 75% of patients treated in a short-term follow-up, with a worsening of this data in the long-term follow-up down to an improvement of 50% of the patients. Some other groups published more optimistic results, showing an 80% success rate without any deterioration of the technique over time after introducing a separate repair of the internal and external muscles. We think that the introduction of some modifications in the classic technique, named "Anatomic sphincteroplasty with combined reconstruction of external and internal anal sphincter muscles" may obtain very good clinical and anorectal manometric results both in a short and mid-term follow-up. In addition, increasing the pressive length in the anal canal may contribute to maintain more stable results over time.
一些研究经典括约肌成形术结果的小组显示，在短期随访中，75%的患者得到了改善，而在长期随访中，这一数据恶化到只有 50%的患者得到了改善。其他一些小组发表了更为乐观的结果，显示出 80%的成功率，并且在引入内外肌单独修复后，该技术在经过一段时间后并没有恶化。我们认为，在经典技术中引入一些改良，称为“解剖性括约肌成形术联合内外括约肌重建”，可能会在短期和中期随访中获得非常好的临床和肛肠测压结果。此外，增加肛管内的压迫长度可能有助于使结果在更长时间内保持更稳定。
