摘要
妨碍的澄清(OD ) 和大便失禁(FI ) 正在质问临床的问题，它通常在颜色的实践被遇到表面的外科医生和胃的肠学。这些混乱社会上并且心理上地沮丧病人并且极大地损害他们生命的质量。位于下面解剖并且 pathophysiological 变化是复杂的，不完全地经常理解并且不能总是被决定。作为后果，许多医药、外科、行为的途径被描述了，没有灵丹妙药。在过去的十年，在一理解和在肛门直肠的生理学实验室(ARP ) 的评估的合理、类似的方法的混乱，辐射学研究，和新外科的技术导致了有希望的结果这些进展。在这简短评论，我们在妨碍的澄清和大便失禁的临床、治疗学的方面上讨论治疗策略和最近的更改。
Obstructed defecation （OD） and fecal incontinence （FI） are challenging clinical problems, which are commonly encountered in the practice of colorectal surgeons and gastroenterologists. These disorders sodally and psychologically distress patients and greatly impair their quality of life. The underlying anatomical and pathophysiological changes are complex, often incompletely understood and cannot always be determined. As a consequence, many medical, surgical, and behavioral approaches have been described, with no panacea. Over the past decade, advances in an understanding of these disorders together with rational and similar methods of evaluation in anorectal physiology laboratories （ARP）, radiology studies, and new surgical techniques have led to promising results. In this brief review, we discuss treatment strategies and recent updates on clinical and therapeutic aspects of obstructed defecation and fecal incontinence.
