肛门失禁

成人肛门失禁的患病率及其对生活质量的影响

Prevalence of anal incontinence in adults and impact on quality-of-life

我院1979～1985年手术治疗肛门失禁6例。

From 1979 to 1985 , 6 patients were operated on for anal incontinence .

研究发现手指扩肛后约1／4患者经历有不同形式的肛门失禁，腔内超声可以显示出IAS的断裂。

Studies demonstrated that about one fourth of the anal fissure patients experience various incontinence after manual dilatation .

避免出现肛门失禁、出血等并发症。

To avoid the apperence of fecal in continence and bleeding .

人成肌细胞移植治疗肛门失禁的实验研究

The Experimental Study of Transplantation of Human Skeletal Myoblasts on Fecal Incontinence

与肠功能失调相关的肛门失禁亚型：临床、生理及社会心理方面的特征

Subtypes of anal incontinence associated with bowel dysfunction : Clinical , physiologic , and psychosocial characterization

术后无1例瘘复发及肛门失禁、肛门狭窄，11例患者均获痊愈。

All 11 patients recovered without any relapse of fistula , anal incontinence and anal stenosis .

对其术后疼痛、大出血、肛门失禁等指标进行比较研究。

Comparative study was performed .

目的：探讨一种新型肛门失禁动物模型造模方法的应用价值。

OBJECTIVE : To investigate the application value of a new method for anal incontinence animal model establishment .

背景：复杂性肛瘘的治疗因其复发率高，易致肛门失禁，一直是临床的重点和难点。

Background : It is important and difficult to manage complex fistula-in-ano because of high recurrent rate and incontinent .

随访1～42个月，无肛门失禁、脱出复发及吻合狭窄等。

No fecal incontinence , recurrence of prolapsed hemorrhoids and anastomotic stenosis occurred within 1 ~ 42 months follow-up .

针对肛门失禁患者的排便控制问题，在前人工作的基础上改进生物反馈式肛门括约肌装置。

Owing to the problem of defecation-control for the patients who suffer anus incontinence , an anus constrictor equipment is improved .

术后6个月排便节制优良率达80%。无肛门失禁。

Postoperative anal continence was achieved with satisfaction in about 80 % patients after 6 months , and no incontinence occur .

肛门失禁动物模型作为人工肛门体内实验研究的第一步，其重要性不容置疑。

An animal model of anal incontinence as the first step in the study of artificial anal in vivo is very important .

严重肛门失禁由多种原因造成，对患者造成身体和精神上的双重痛苦，也给患者的家庭及社会带来很大负担。

Fecal incontinence does not only bring both body and mental sufferings to patients , but also causes a lot of social burden .

肛门失禁指四岁以上患者出现反复发生的不能控制排便的症状，并持续一个月以上。

Fecal incontinence refers to the symptoms that people over four years old lose control of defecation repetitively for more than one month .

结果45例一期治愈，1例二期治愈，无肛门失禁、肛门狭窄等并发症。

Results 45 cases were primarily cured and 1 case was secondarily cured . No anal incontinence , stricture or other complications were found .

本组无手术死亡，2例骶前静脉丛损伤，1例肠瘘，术后无肛门失禁。

There were no death , 2 cases of presacral venous damage , 1 case of intestinal fistula and no anus irretention in the study .

结果：31例均一次治愈，随访无复发、肛瘘形成及肛门失禁等后遗症。

Finally : 31 examples time cure , make a follow-up visit not recur , the anus fistula form and sequela and so on anus incontinence .

目的探讨肛提肌形态及其与肛直肠的解剖关系和功能，为肛肠手术预防和治疗肛门失禁提供解剖学参考资料。

OBJECTIVE To investigate into the morphology of levator ani muscle and its anatomical relationship to anorectum so as to provide reference data for the prevention of anus incontinence with surgery .

所有病例大便控制功能良好，无肛门失禁。结论：该手术作为良性直肠中下段病变的首选手术，对于恶性病变，该手术与开腹手术相结合，是彻底切除肿瘤和低位吻合较为理想的手术方式。

Thus , transsacral approach is an operation of choice for benign mid and low rectal lesions . In cases of malignant lesions it can be used in combination with transabdominal operation .

术后无大出血、肛门失禁等严重并发症，但治疗组术后伤口疼痛、创缘水肿、残留皮赘、肛门狭窄发生例数低于对照组，差异均有统计学意义（P<0.05）。

In the therapeutic group , there were less occurrence of post-operation pain , dropsy in cut edge , remaining wart and anal stricture ( P < 0.05 ) when compared with control group .

肛门失禁3例，污粪2例，均于术后8个月内全部恢复正常，肛门排便功能优良率达97.96%。

Anal incontinence was found in 3 cases , defile feces in 2 cases , but all these cases recovered by 8 months after operation . The rate of anal defecation function was 97.96 % .

目前临床中常常在痔手术中采用切断内括约肌的方式来减轻术后疼痛、水肿等并发症，但有部分学者提出切断内括约肌术后可能发生肛门失禁和不完全性失禁的后遗症。

Today in the clinical we often reduce postoperative pain , edema and other complications after hemorrhoid surgery by internal sphincterotomy , but there are some scholars said that hemorrhoidectomy with internal sphincterotomy might cause incontinence and incomplete incontinence .

即使是那些术后未发现肛门失禁的患者，肌肉的断裂也是永久性的，从理论上讲，日后失禁的危险性是存在的，特别是随着年龄的增高，肛门静息压降低。

Even if the patient remain continent following sphincterotomy , the disruption to the muscle is permanent and the individual would theoretically be at risk of incontinence in later life , particularly as resting pressure is known to decrease with age .

目的为了克服侧位内括约肌切断术治疗慢性肛裂后发生不同程度肛门失禁的缺点，探讨亚甲蓝注射加肛窦切开引流术对肛裂的疗效。

Objective For the purpose of overcoming anal continence with different severity caused by the lateral division of internal sphincter for chronic anal fissure , we studied the treatment effect of injection with methylene blue plus incision drainage operation of anal sinus .

对两组患者术后疗效、疼痛、肛缘水肿情况、尿潴留、创面愈合时间、肛门失禁及术后肛管是否产生锁眼样畸形等进行观察比较并搜集数据，对所得数据进行统计学处理。

Efficacy of two patients , pain , edema fate anus , the urinary retention , wound healing time and incontinence of anal Whether or not produce a " keyhole-like " deformity such as observation and comparison and to gather data , conduct statistical analysis of the data .

治疗组术后无肛门功能失禁，而对照组术后有4例肛门功能失禁。

No postoperative incontinence of anal sphincter was found iin therapeutic group , but it was found in control group with 4 cases .

无直肠或肛门狭窄、大便失禁等并发症。

There is no complication such as rectum or anal narrow and incontinence of feces .

肛门手术后大便失禁的形式

Patterns of fecal incontinence after anal surgery