摘要
目的大便失禁是结直肠肛门疾病中的常见病和难治病,通常会给患者生活质量造成严重影响。目前针对大便失禁的治疗选择众多但尚缺乏统一规范,大便失禁的治疗一般先从非手术治疗开始,包括一般治疗、药物治疗、生物反馈治疗以及针灸治疗。当非手术治疗无效时选择手术治疗,常见的手术治疗包括:括约肌修补术、股薄肌转移成形术、人工括约肌植入术、磁性肛门括约肌、生物材料注射、骶神经调节术、肛门干细胞疗法及结肠造口。本文就大便失禁的治疗技术做阐述,有助于肛肠科医生深入了解大便失禁的治疗并适当选择不同治疗技术在临床工作中开展。
Fecal incontinence(FI)is a common and difficult-to-treat disease in colorectal and anal diseases,and it usually has a serious impact on the quality of life of patients.At present,there are many treatment options for FI,but there is still no unified standard.The treatment of FI generally starts with non-surgical treatment,including general treatment,drug treatment,biofeedback treatment,and acupuncture treatment.Surgical treatment is chosen when non-surgical treatment fails.Surgical treatments include sphincter repair,graciloplasty,artificial sphincter implantation,magnetic anal sphincter,biomaterial injection,sacral nerve modulation,anus stem cell therapy,and colostomy.This article elaborates on the therapeutic techniques for FI,hoping to help anorectal surgeons have a deep understanding of the treatment of FI and select appropriate therapeutic techniques in the clinical work.
作者
肖国中
林宏城
Xiao Guozhong;Lin Hongcheng(Department of Colorectal and Anal Surgery,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,China;Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,China)
出处
《中华临床医师杂志（电子版）》
CAS
北大核心
2022年第7期696-700,共5页
Chinese Journal of Clinicians(Electronic Edition)
基金
国家自然科学基金面上项目(82174369,81973847)
广东省自然科学基金面上项目(2020A1515011254)
国家临床重点专科。
关键词
大便失禁
治疗
技术
研究进展
Fecal incontinence
Therapy
Technique
Advances
