Kościński T, Marti M C
III Katedry i Kliniki Chirurgii Akademii Medycznej im. K. Marcinkowskiego w Poznaniu.
Wiad Lek. 1997;50 Suppl 1 Pt 1:151-4.
The authors describe overlapping sphincteroplasty for the reconstruction of injuried anal sphincters. This technique was applied for obstetric, surgical and traumatic injuries i 57 patients. Both anal sphincters were injuried in 37 cases. A single damage of the external sphincter was observed in 20 cases. The anal sphincteric function has been evaluated pre and postoperatively according to Miller's scale (clinical criteria) and by manometry. The manometric studies were performed in 49 patients. Maximal resting tone, maximal squeeze pressure and the anal canal length were studied preoperatively and 6 months after the reconstruction. The functional results were excellent and good in 93% of patients. The improvement of maximal squeeze pressure and anal canal length were statistically significant.
作者描述了重叠式括约肌成形术用于重建受损的肛门括约肌。该技术应用于57例产科、外科和创伤性损伤患者。37例患者的肛门内外括约肌均受损。20例患者观察到外括约肌单一损伤。术前和术后根据米勒量表（临床标准）并通过测压法对肛门括约肌功能进行了评估。对49例患者进行了测压研究。术前及重建后6个月研究了最大静息张力、最大收缩压和肛管长度。93%的患者功能结果为优或良。最大收缩压和肛管长度的改善具有统计学意义。
