Lorenz E P, Wondzinski A
Abteilung für Allgemein-, Gefáss- und Thoraxchirurgie, Universitätsklinikum Benjamin Franklin Berlin.
Zentralbl Chir. 1996;121(8):669-75.
Data from 235 patients (189 women, 46 men) from 1974 to 1993 were analyzed for examining therapeutic success of operative and conservative treatment of anorectal incontinence. Clinical, manometric, electrophysiological and radiological examinations were performed for checking the functional results. In the group of 134 operated patients, the preoperative incontinence score (according to Kelly-Holischneider) of 6.7 points could be improved to 9.9 points. 50% of the operations were direct anatomical sphincter reconstructions, in which continence could be completely reestablished in 85% of the cases. Further procedures for improving continence included post-anal repair (n = 20), transabdominal rectopexy (n = 24) and gracllis grafting (n = 11). 147 patients were conservatively treated using electrostimulation (n = 75) and biofeedback training (n = 72). Irregardless of existing degree of incontinence, recovery was clinically as well as manometrically obtained in 39% and an improvement of symptoms in 38%.
分析了1974年至1993年期间235例患者（189名女性，46名男性）的数据，以检验肛门直肠失禁手术治疗和保守治疗的疗效。进行了临床、测压、电生理和放射学检查以检查功能结果。在134例接受手术的患者组中，术前失禁评分（根据凯利 - 霍利施奈德法）从6.7分提高到了9.9分。50%的手术为直接解剖学括约肌重建术，其中85%的病例可完全恢复控便能力。进一步改善控便能力的手术包括肛门后修补术（n = 20）、经腹直肠固定术（n = 24）和股薄肌移植术（n = 11）。147例患者接受了保守治疗，采用电刺激（n = 75）和生物反馈训练（n = 72）。无论现有失禁程度如何，39%的患者在临床和测压方面均恢复正常，38%的患者症状得到改善。
