便失禁的管理:手术治疗选择
Birgit Bittorf1, Klaus E Matzel1
1Department of Surgery, Friedrich-Alexander-Universität Erlangen, Erlangen, Germany.
便失禁 (FI) 治疗侧重于手术,当保守的选择失败时. 圣神经调节 (SNM) 是大多数FI病例的首选,最少的侵入性手术选择,提供高的成功率.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 神经调节是一种神经调节.
背景情况:
- 便失禁 (FI) 是一个普遍且经常被忽视的成人健康问题.
- 非手术治疗是主要的方法,手术只适用于对保守管理不耐药的病例.
- 这篇概述考察了FI的历史和当代外科干预措施.
研究的目的:
- 审查便失禁手术治疗的发展情况.
- 为了比较当前手术程序的疗效和指示.
- 突出神经神经调节 (SNM) 作为领先的治疗方式.
主要方法:
- 对FI的历史和当前外科手术技术的审查.
- 对指南推的程序进行分析.
- 对治疗方法的疗效,侵袭性和并发性疾病的评估.
主要成果:
- 动态石膏整形和人工肠大多已经过时了,原因是侵入性和并发症.
- 膜整形和神经神经调节 (SNM) 是当前的指导方针建议.
- SNM 显示出高效率与最小的侵入性,成为各种FI原因的首选,包括形态缺陷.
结论:
- 对FI的手术选择有限.
- 圣神经调节 (SNM) 是治疗多种FI疾病的黄金标准,因为它的有效性和低并发症率.
- 膜整形仍然是FI的可行的选择,特别是由于关节损伤造成的FI.
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