内括约肌折叠术联合盆底修复治疗神经性大便失禁的随机试验
Randomized trial of internal anal sphincter plication with pelvic floor repair for neuropathic fecal incontinence.
作者信息
Deen K I, Kumar D, Williams J G, Grant E A, Keighley M R
机构信息
University Department of Surgery, Queen Elizabeth Hospital, Birmingham, United Kingdom.
出版信息
Dis Colon Rectum. 1995 Jan;38(1):14-8. doi: 10.1007/BF02053851.
PURPOSE
This study was designed to examine the role of adjuvant internal anal sphincter plication in women with neuropathic fecal incontinence undergoing pelvic floor repair.
METHODS
We completed a randomized trial with symptomatic and physiologic assessment before and after surgery.
RESULTS
There was no symptomatic advantage of adding internal sphincter plication; the mean improvement of functional score was 3.61 +/- 1.82 (standard deviation; P < 0.01) following pelvic floor repair alone compared with 2.80 +/- 1.66 (standard deviation; P < 0.01) when adjuvant internal and sphincter plication was added. The addition of internal sphincter plication was associated with a significant fall in maximum anal resting and squeezing pressures (P < 0.01).
CONCLUSIONS
Addition of internal sphincter plication is not advised in women with neuropathic fecal incontinence treated by pelvic floor repair.
目的
本研究旨在探讨辅助性肛门内括约肌折叠术在接受盆底修复的神经性大便失禁女性中的作用。
方法
我们完成了一项随机试验，在手术前后进行了症状和生理评估。
结果
增加内括约肌折叠术并无症状方面的优势；仅进行盆底修复后功能评分的平均改善为3.61±1.82（标准差；P<0.01），而添加辅助性内括约肌折叠术时为2.80±1.66（标准差；P<0.01）。添加内括约肌折叠术与最大肛门静息和收缩压力显著下降相关（P<0.01）。
结论
对于接受盆底修复治疗的神经性大便失禁女性，不建议添加内括约肌折叠术。
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