Farouk R, Bartolo D C
Department of Surgery, Royal Infirmary of Edinburgh, UK.
J R Coll Surg Edinb. 1994 Oct;39(5):312-8.
To determine the clinical value of endoanal ultrasonography in the assessment of patients with faecal incontinence, we have assessed 98 patients with neurogenic incontinence (median age 58 years, 85 women). Twenty-one patients with a history of previous anal surgery (13 men), 12 nulliparous women, and 73 women with an obstetric history (including eight with previous anal surgery) were assessed. All of the patients who had undergone surgery and 43 patients with a previous obstetric history had abnormalities identified by ultrasound. Endoanal ultrasound identified two internal sphincter injuries in patients who were suspected of having an external sphincter defect alone. In addition, in 18 patients who had an obstetric history but no documented obstetric trauma, defects were identified in the external sphincter by ultrasonography. The technique appears most useful in those patients with an obstetric history and/or a previous history of anal surgery. Symptoms of incontinence were most severe in those who had internal sphincter division.
为了确定肛管超声检查在评估大便失禁患者中的临床价值，我们对98例神经源性失禁患者（中位年龄58岁，85例女性）进行了评估。评估对象包括21例有既往肛门手术史的患者（13例男性）、12例未生育女性以及73例有产科病史的女性（包括8例有既往肛门手术史者）。所有接受过手术的患者以及43例有产科病史的患者经超声检查发现存在异常。肛管超声在仅怀疑有外括约肌缺陷的患者中发现了2例内括约肌损伤。此外，在18例有产科病史但无产科创伤记录的患者中，超声检查发现外括约肌存在缺陷。该技术在有产科病史和/或既往肛门手术史的患者中似乎最有用。内括约肌断裂的患者失禁症状最为严重。
