Holle J, Freilinger G
Langenbecks Arch Chir. 1980;351(2):133-44. doi: 10.1007/BF01237620.
Anal sphincter reconstruction with muscle transplantation according to Thompson and transposition of the denervated gracilis muscle onto the surface of the pelvic floor muscles are described. The transplanted and transposed muscles are reinnervated by a collateral nerve from the adjacent functioning muscles. The follow-up examination of 16 cases of anal incontinence two years after anal sphincter reconstruction demonstrates in all but one case ontinence for firm feces and in most of them, continence for fluid feces. Reflectoric contractions of the new reconstructed sphincter can be demonstrated by myographic and manometric investigations. The advantages of dynamic sphincter reconstruction with muscular neurotization compared to other more static techniques are discussed.
描述了根据汤普森法进行肌肉移植的肛门括约肌重建术以及将去神经化的股薄肌移位至盆底肌表面的手术方法。移植和移位的肌肉通过来自相邻功能肌肉的侧支神经进行再神经支配。对16例肛门失禁患者在肛门括约肌重建术后两年的随访检查显示，除1例患者外，其余患者对固体粪便均能控制，大多数患者对液体粪便也能控制。通过肌电图和测压检查可证实新重建括约肌的反射性收缩。文中讨论了与其他更静态的技术相比，动态括约肌重建术结合肌肉神经化的优势。
