大便失禁的非手术治疗

Current status and prospects of non-surgical treatment for fecal incontinence

大便失禁是肛肠外科的难治性疾病,以患者无法自主控制直肠内气体和固体或液体粪便的排出为主要临床表现,易给患者带来病耻感,严重影响患者身心健康。减少大便失禁的次数,恢复肛门括约肌功能,提高患者生活质量是治疗大便失禁的重要目标。随着医疗技术的发展和大便失禁治疗方案的完善,大便失禁患者通常先进行保守治疗,无效后再选择手术。临床常用的非手术治疗方法包括生物反馈治疗、磁刺激疗法和盆底肌肉训练、肛门括约肌训练、凯格尔训练等康复治疗。本文综合大便失禁的非手术治疗方式进行论述,希望为临床治疗大便失禁提供选择。

Fecal incontinence is a refractory disease in colorectal surgery.The main clinical manifestation is that patients cannot control the discharge of gas,solid or liquid feces in the rectum autonomously.It is easy to bring shame to patients and seriously affect their physical and mental health.Reducing the frequency of fecal incontinence,restoring anal sphincter function,and improving patient quality of life are important goals for treating fecal incontinence.With the development of medical technology and the improvement of treatment plans for fecal incontinence,patients with fecal incontinence usually undergo conservative treatment first,and if conservative treatment is ineffective,surgery can be chosen.Non-surgical treatment methods commonly used in clinical practice include biofeedback therapy,magnetic stimulation therapy,pelvic floor muscle training,anal sphincter training,Kegel training,and other rehabilitation treatments.This article discusses the non-surgical treatment methods for fecal incontinence,hoping to provide a choice for clinical treatment of fecal incontinence.