后盆底修复手术在结直肠肛门外科中的应用现状

Current status of posterior pelvic floor repair in colorectal surgery

肛门括约肌损伤和后盆底缺损会引起大便失禁、盆底畸形、盆底疝等一系列问题,严重影响患者的生活质量,给患者带来沉重的心理负担。后盆底修复手术是结直肠肛门外科领域一类手术的统称,此类手术可以修补或重建肛门括约肌,修补后盆底缺损,从而不同程度实现肛门括约肌形态及功能再造,不同程度还原后盆底的解剖结构、改善盆底功能。本文围绕后盆底修复手术在结直肠肛门外科中的应用现状进行综述,与同道进行交流。

The anal sphincter injury and posterior pelvic floor defect cause a series of problems,such as fecal incontinence,pelvic floor malformation,and pelvic floor hernia,which seriously affect the quality of life and impose profound psychological burdens on these patients.Posterior pelvic floor repair surgery represents a class of colorectal surgery to repair or reconstruct the anal sphincter and repair posterior pelvic floor defect,which aims to reconstruct the anal sphincter morpholog and function,restore the anatomical structure of the posterior pelvic floor to varying degrees,as well as to improve the pelvic floor function.This article reviews the current status of posterior pelvic floor repair in colorectal surgery and shares our experience with our peers.