1例产伤性大便失禁病例报告
A case report of fecal incontinence resulting from birth-induced injury
许新意 1丁义江 2薛雅红 2李婧婧 1曾禹沙1
作者信息
- 1. 南京中医药大学研究生院 江苏南京 210023;南京中医药大学附属南京中医院肛肠科 江苏南京 210001
- 2. 南京中医药大学附属南京中医院肛肠科 江苏南京 210001
- 折叠
摘要
产伤是女性发生大便失禁的最主要因素,部分患者接受单纯手术治疗的效果欠理想.对于此类患者,需要注重解剖学与功能学转归.笔者团队收治了 1例病程长达35年的产伤性大便失禁患者,其接受了前侧肛门括约肌重叠修补+会阴成形术和术后盆底功能康复治疗并取得了较好的效果,术后1年随访时未见粪便不自主流出现象.本文报告该病例的临床诊疗过程,以期为类似患者的治疗提供参考.
Abstract
Birth-induced injury represents the predominant cause of fecal incontinence among women,and in some pa-tients,the outcomes of surgery alone may be suboptimal.For such cases,a focus on anatomical and functional outcomes is crucial.Our team encountered a patient with a 35-year history of fecal incontinence resulting from birth-induced in-jury.The patient underwent anterior anal sphincter overlapping repair combined with perineoplasty,followed by postop-erative pelvic floor rehabilitation therapy,achieving favorable outcomes.No episodes of involuntary fecal discharge were noted at 1-year follow-up after surgery.This case report details the clinical diagnosis and treatment,aiming to provide in-sights into managing similar patients.
关键词
大便失禁/产科相关肛门括约肌损伤/肛门括约肌修补术/盆底功能康复治疗Key words
fecal incontinence/obstetric anal sphincter injury/anal sphincter repair/pelvic floor rehabilitation therapy引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据