den Hollander Venla E C, Trzpis Monika, Broens Paul M A
Department of Surgery, Anorectal Physiology Laboratory, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Department of Geriatric Medicine, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Neurogastroenterol Motil. 2025 Apr;37(4):e14983. doi: 10.1111/nmo.14983. Epub 2024 Dec 31.
Normal anal sensibility can be present in ARM patients diagnosed with all types of ARM after they have been treated with corrective surgery. Anal sensibility was better in those with a functional IAS. This means that the IAS, present in the distal end of the fistula, should be spared as much as possible to preserve anal sensibility. In this way, aiming to maintain the best possible fecal continence. Furthermore, the outcomes of this study demonstrate that anal sensibility is regulated by transmural nerves.
经矫正手术治疗后，诊断为各类肛门直肠畸形（ARM）的患者可存在正常的肛门感觉。在具有功能性内括约肌（IAS）的患者中，肛门感觉更好。这意味着，瘘管远端存在的IAS应尽可能保留，以维持肛门感觉。通过这种方式，旨在保持尽可能好的大便失禁情况。此外，本研究结果表明，肛门感觉受壁内神经调节。
