大便失禁的肛门后修复术。
Postanal repair for faecal incontinence.
作者信息
Keighley M R
出版信息
J R Soc Med. 1984 Apr;77(4):285-8. doi: 10.1177/014107688407700406.
Abstract
Between 1977 and 1983, 105 patients had a postanal repair for the treatment of faecal incontinence. All except 8 patients were women. The principal reasons for operation were: persistent incontinence after rectopexy (n = 25), obstetric trauma (n = 18), anal dilatation (n = 12) and pelvic floor neuropathy (n = 41). One patient died after operation. Of 89 patients followed up for at least six months after operation, 56 (63%) have complete control of faeces and flatus, but 19 have control of solid faeces only and 14 are no better. The poor results were associated with wound sepsis and previous operations particularly in men.
摘要
1977年至1983年间，105例患者接受了肛门后修复术以治疗大便失禁。除8例患者外，其余均为女性。手术的主要原因包括：直肠固定术后持续性失禁（n = 25）、产科创伤（n = 18）、肛门扩张（n = 12）和盆底神经病变（n = 41）。1例患者术后死亡。在术后至少随访6个月的89例患者中，56例（63%）对粪便和气体有完全控制能力，但19例仅能控制固体粪便，14例无改善。结果不佳与伤口感染和既往手术有关，尤其是男性患者。
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