Briel J W, Schouten W R
Academisch Ziekenhuis Rotterdam-Dijkzigt, afd. Heelkunde.
Ned Tijdschr Geneeskd. 1995 Jan 7;139(1):23-6.
To evaluate the long-term results after postanal repair in patients with faecal incontinence.
Retrospective study.
Rotterdam.
Thirty-seven patients, who underwent postanal repair during the period 1984-1992, were approached by telephone to determine the current functional status.
The median duration of follow-up was 38 months (range: 4-94). One year after the operation 24 patients (65%) were continent. In 22 patients this successful outcome was observed within the first half year. In seven patients (29%) incontinence recurred. In 13 patients (35%) the functional results were disappointing from the very beginning. The final outcome, which was good in 46% of the patients, was not influenced by the underlying aetiology.
Postanal repair is not beneficial for the majority of patients with faecal incontinence. Therefore, it should be considered if other treatment modalities, such as biofeedback and the electrically stimulated M. gracilis neosphincter might not be preferable.
评估大便失禁患者行肛门后修复术后的长期效果。
回顾性研究。
鹿特丹。
通过电话联系了1984年至1992年间接受肛门后修复术的37例患者，以确定其当前的功能状态。
随访时间中位数为38个月（范围：4 - 94个月）。术后1年，24例患者（65%）实现了控便。其中22例患者在术后半年内就取得了这一成功结果。7例患者（29%）出现了失禁复发。13例患者（35%）从一开始功能结果就不尽人意。46%的患者最终结果良好，这不受潜在病因的影响。
肛门后修复术对大多数大便失禁患者并无益处。因此，只有在生物反馈和电刺激股薄肌新括约肌等其他治疗方式不可取时，才应考虑采用该手术。
