中国实用妇科与产科杂志2025，Vol.41Issue(5)：502-507,6.DOI:10.19538/j.fk2025050107
基于盆底整体理论的前侧括约肌成形术治疗Ⅲ～Ⅳ度产伤引起的大便失禁
Anterior sphincteroplasty based on integral theory of pelvic floor for the treatment of fecal incontinence caused by third-and fourth-degree perineal tears
许圳鹏 1孙桂东 2陈玉根 2邵万金3
作者信息
- 1. 福建中医药大学附属人民医院肛肠科,福建 福州 350004||南京中医药大学附属医院肛肠科,江苏南京 210029
- 2. 南京中医药大学附属医院肛肠科,江苏南京 210029
- 3. 深圳中医肛肠医院肛肠盆底外科,广东 深圳 518000
- 折叠
摘要
Abstract
The incidence of perineal lacerations and levator ani muscle injuries during delivery is high,especially third-and fourth-degree perineal tears(also referred to as obstetric anal sphincter injuries-OASIS),which may lead to fecal incontinence.Perineal injury should be identified early and repaired promptly.However,more than half of OASIS are not discovered in the delivery room.OASIS can be evaluated and diagnosed by perineal examination,digital rectal examination combined with auxiliary examinations such as endorectal ultrasound,transperineal ultrasound,and rectal magnetic resonance imaging.When conservative treatment for OASIS is ineffective,anterior anal sphincteroplasty is the main treatment for OASIS.For patients with levator ani muscle injury,levator ani muscle plasty should be performed simultaneously.However,its clinical effect will decrease significantly over time.In view of this,the author recommends that other treatment methods such as biofeedback,electroacupuncture,sacral nerve stimulation,etc.can be used in combination after anal sphincteroplasty to enhance or maintain clinical effects.关键词
产科肛门括约肌损伤/大便失禁/前侧括约肌成形术/肛提肌成形术Key words
obstetric anal sphincter injuries/fecal incontinence/anterior sphincteroplasty/levator ani muscle plasty分类
临床医学引用本文复制引用
许圳鹏,孙桂东,陈玉根,邵万金..基于盆底整体理论的前侧括约肌成形术治疗Ⅲ～Ⅳ度产伤引起的大便失禁[J].中国实用妇科与产科杂志,2025,41(5):502-507,6.
