Gangi S, Prosperini U, Costanzo M P, Lauria M, Khansa K, Basile F
Cattedra di Chirurgia d'Urgenza e Pronto Soccorso II, Ospedale Vittorio Emanuele, Catania.
Ann Ital Chir. 1994 Jul-Aug;65(4):495-7; discussion 498.
Faecal incontinence is an important disabling symptom in the affected patients. Classically, we divide faecal incontinence in two main types: traumatic faecal incontinence and neurogenic faecal incontinence. Neurogenic faecal incontinence is characterized by a diffuse weakness of anal sphincter and of the elevator muscles. The aim of the present study was to evaluate the outcome of postanal repair procedure in the management of neurogenic faecal incontinence. To this end we studied 20 patients with neurogenic faecal incontinence who underwent a postanal repair procedure according to the method described by Parks. Mean follow up was up two years and was based mainly both on clinical evaluation and manometric values carried out on a 6 monthly basis. When the outcome was evaluated in terms of faecal incontinence our date were similar to those reported by Parks and Keighley. In the subjects studied we haven't reported any major complications apart from two cases of wound's infection which were efficaciously treated. Our findings supported the view that postanal repair procedure is the surgical approach of choice in the patients with idiopathic neurogenic faecal incontinence.
大便失禁是影响患者的一种重要致残症状。传统上，我们将大便失禁分为两种主要类型：创伤性大便失禁和神经源性大便失禁。神经源性大便失禁的特征是肛门括约肌和提肌弥漫性无力。本研究的目的是评估肛门后修复手术治疗神经源性大便失禁的效果。为此，我们研究了20例接受了根据帕克斯描述的方法进行肛门后修复手术的神经源性大便失禁患者。平均随访时间长达两年，主要基于临床评估和每6个月进行一次的测压值。当根据大便失禁情况评估结果时，我们的数据与帕克斯和凯利报道的相似。在研究对象中，除了两例伤口感染病例得到有效治疗外，我们没有报告任何重大并发症。我们的研究结果支持这样一种观点，即肛门后修复手术是特发性神经源性大便失禁患者的首选手术方法。
