摘要
大便失禁是肛肠科的难治病,诊断相对简单,但其治疗较为困难,尚缺乏规范化的诊治标准。本文针对大便失禁的诊断和治疗策略进行阐述,倡导多学科联合诊治,提出"保守疗法→原位修复→肌肉转移→人工括约肌→植入刺激装置→造口术"大便失禁的阶梯式治疗链,供临床医生参考。
Fecal incontinence（FI） is a refractory disease, the diagnosis is simple while treatment is very difficult and lack of a recommended standardization. This paper delineates the clinical strategy and multidisciplinary conception of FI. Finally, author makes a clinical chain for FI ＂nonoperative management → sphincteroplasty → graciloplasty → artificial bowel sphincter → implanting device → colostomy＂ for reference of clinicians.
作者
董青军
梁宏涛
王琛
曹永清
陆金根
DONG Qingjun;LIANG Hongtao;WANG Chen;CAO Yongqing;LU Jingen(Department of Proctology,Longhua Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)
出处
《中国医药导报》
CAS
2018年第24期26-29,共4页
China Medical Herald
基金
国家自然科学基金资助项目(81503577)
上海市卫生和计划生育委员会中医药科研基金项目(2014LP087A)
关键词
大便失禁
多学科
规范化
治疗链
临床策略
Fecal incontinence
Multidiseiplinary
Standardization
Chain
Clinical strategy
