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股薄肌转位术治疗大便失禁。长期随访及肛门压力记录评估。

Gracilis muscle transposition in the treatment of fecal incontinence. Long-term follow-up and evaluation of anal pressure recordings.

作者信息

Leguit P, van Baal J G, Brummelkamp W H

出版信息

Dis Colon Rectum. 1985 Jan;28(1):1-4. doi: 10.1007/BF02553893.

DOI:10.1007/BF02553893
PMID:3971793
Abstract

The results after gracilis muscle transposition were studied in ten patients with a follow-up of six months to 17 years. Nine patients were continent for formed feces and the condition of one patient worsened after operation. Anorectal manometry was performed in eight of the ten patients. Evaluation of pressure recordings showed a normal image, both at rest and at maximal squeeze, in five patients. Low-pressure recordings at rest and at maximal squeeze were seen in two continent patients, in whom the tissue scarring resulted in narrowing of the anal canal. One patient with low-pressure recordings was completely incontinent. An attempt was made to explain the continence and low-pressure recordings. The results suggest gracilis muscle transposition to be a method of choice in patients with total incontinence who have no functional and sphincter.

摘要

对10例患者进行了股薄肌移位术后的结果研究,随访时间为6个月至17年。9例患者对成形粪便能保持节制,1例患者术后情况恶化。10例患者中有8例行肛肠测压。对压力记录的评估显示,5例患者在静息和最大收缩时图像正常。2例节制患者在静息和最大收缩时记录到低压力,其组织瘢痕导致肛管狭窄。1例记录到低压力的患者完全失禁。试图对节制和低压力记录作出解释。结果表明,股薄肌移位术是无功能和括约肌的完全性失禁患者的一种首选方法。

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