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胃绕道手术后便失禁模式的变化:与关节厚的变化有关吗?
Jeff Wennerlund1, David Thalén2, Anton Östevind1
1Department of Diagnostics and Intervention, Surgery, Umeå University, Umeå, Sweden.
International journal of colorectal disease
|January 9, 2026
概括
代谢性减肥手术 (MBS) 在严重肥胖的患者中没有改变关节的厚度. 然而,减肥改善了失禁泄漏,同时增加了急性症状手术后六个月.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 盆地底疾病 盆地底疾病
背景情况:
- 便失禁在严重肥胖中很普遍.
- 代谢性减肥手术 (MBS) 对关节的厚度和失禁模式的影响尚不清楚.
研究的目的:
- 为了评估内部关节 (IAS) 和外部关节 (EAS) 厚度在Roux-en-Y胃绕道手术 (RYGB) 6个月后的变化.
- 为了与RYGB后的便失禁模式的变化相关联,关节的厚度变化.
主要方法:
- 在RYGB之前和6个月后的31名患者中,用于测量IAS和EAS厚度的三维内内超声波.
- 患者填写了韦克斯纳和低前切除综合征 (LARS) 调查问卷,以评估失禁和急症症状.
主要成果:
- 在RYGB后的IAS或EAS厚度中没有观察到显著的变化.
- 韦克斯纳分数有所改善,表明便失禁减少 (平均从18降至13).
- 拉斯得分增加,这意味着急性症状增加 (从10到15名患者).
结论:
- 在手术后6个月,RYGB不会影响关节的厚度.
- 随着RYGB的减肥改变了便失禁,减少了泄漏,但增加了紧迫性.
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