Faucheron J L, Hannoun L, Thome C, Parc R
Department of Alimentary Tract Surgery, Hôpital Saint-Antoine, Paris, France.
Dis Colon Rectum. 1994 Oct;37(10):979-83. doi: 10.1007/BF02049308.
Gracilis muscle transposition for treatment of fecal incontinence gives variable results. Electric stimulation of transposed muscle recently brought this technique to the surface.
We reviewed patients who had gracilis muscle transposition for fecal incontinence to determine who might benefit from electrostimulation.
Between 1979 and 1991, 22 patients underwent gracilis muscle transposition. At six months, 18 patients had improved continence, but 12 of the 18 were stable with time, and only 1 was fully continent. Six patients were candidates for electrostimulation; four had a contractile but fatigable transposed muscle, and two had ineffective transposed muscle with a gaping nonfibrotic anus.
Gracilis muscle transposition should be used first for severe incontinent patients, and electrostimulation should be used if there are unsatisfactory results.
股薄肌转位术治疗大便失禁的效果不一。近期，对转位肌进行电刺激使该技术重新受到关注。
我们回顾了接受股薄肌转位术治疗大便失禁的患者，以确定哪些患者可能从电刺激中获益。
1979年至1991年间，22例患者接受了股薄肌转位术。术后6个月时，18例患者的控便能力有所改善，但其中12例随着时间推移保持稳定，只有1例完全控便。6例患者适合接受电刺激；4例转位肌有收缩但易疲劳，2例转位肌无效且肛门呈非纤维化的张开状态。
股薄肌转位术应首先用于重度失禁患者，若效果不理想则应采用电刺激。
