...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International journal of colorectal disease. >Post-operative clinical, manometric, and defecographic findings in patients undergoing unsuccessful STARR operation for obstructed defecation
【24h】

Post-operative clinical, manometric, and defecographic findings in patients undergoing unsuccessful STARR operation for obstructed defecation

机译：患者术后临床，肉豆蔻和缺陷调查结果，患者患者失败的障碍防御

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

AimTo evaluate the reason for failure of STARR (stapled transanal rectal resection) operation for obstructed defecation.MethodsA retrospective study (June 2012-December 2017) was performed using a prospectively maintained database of patients who underwent STARR operation for ODS (obstructed defecation syndrome), complaining of persisting or de novo occurrence of pelvic floor dysfunctions. Postoperative St Mark's and ODS scores were evaluated. A VAS was used to score pelvic pain. Patients' satisfaction was estimated administering the CPGAS (clinical patient grading assessment scale) questionnaire. Objective evaluation was performed by dynamic proctography and anorectal manometry.ResultsNinety patients (83.3% females) operated for ODS using STARR technique were evaluated.Median ODS score was 19 while 20 patients (22%) reported de novo fecal urgency and 4 patients a worsening of their preoperative fecal incontinence.Dynamic proctography performed in 54/90 patients showed a significant (>3.0cm) rectocele in 19 patients, recto-rectal intussusception in 10 patients incomplete emptying in 24 patients. When compared with internal normal standards, anorectal manometry showed decreased rectal compliance and maximum tolerable volume in patients with urgency. Nine patients reported a persistent postoperative pelvic pain (median VAS score 6).ConclusionFailure of STARR to treat ODS, documented by persisting ODS symptoms, fecal urgency, or chronic pelvic pain, is often justified by the persistence or de novo onset of alteration of the anorectal anatomy at defecation. This occurs in about half of the patients, but in 40% of the cases who complained of incomplete emptying or incontinence, anatomical abnormalities were not recognized.
机译：AIMTO评估STARR（屡染色体直肠切除术）运作的失败的原因，用于障碍排放法。方法采用前瞻性维持的患者进行了对ODS（阻塞综合征）的患者的患者进行了患者进行的患者进行的（2017年6月）进行。抱怨持续或脱肉地板功能障碍。评估术后St Mark和ODS分数。 VAS用于得分骨盆疼痛。估计患者的满意度估计CPGA（临床患者分级评估规模）问卷。目的评价是通过动态的积压和肛肠肉瘤进行的。评估了使用STARR技术的ODS运营的患者（83.3％的女性）.Median ODS评分为19岁时，20名患者（22％）报告的Novo粪便紧急和4名患者的恶化它们的术前粪便失禁。在54/90名患者中进行的动力学标志造影在19例患者中显示出显着的（> 3.0cm）recocele，10例患者在24名患者排空的直肠癌肠套肠溶肠溶。与内部正常标准相比，肛肠测压表现出直肠依从性和紧急患者的直肠依从性和最大耐受体积。九个患者报告持续术后骨盆疼痛（中位数VAS得分6）。斯塔尔的组合，以治疗ODS，通过持续持续症状，粪便紧迫或慢性骨盆疼痛，经常通过持久性或Novo开始改变排便时的肛肠解剖学。这发生在大约一半的患者中，但在40％的案件中，抱怨不完全排空或尿失禁，无法承认解剖异常。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号