Treatment of obstructed defecation.
Treatment of obstructed defecation.
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DOI：
10.1055/s-2005-870889
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发表时间：
2005-05-01
影响因子：
1.4
通讯作者：
Ellis, C Neal
中科院分区：
文献类型：
--
作者：
Ellis, C Neal
排便障碍是一个常见的问题，对许多患者的生活质量产生不利影响。已知的排便障碍的原因包括盆腔功能失调、直肠前突、直肠肠套叠、肠疝、盆腔器官脱垂和明显的直肠脱垂。这种情况的管理需要了解泌尿，排便和性功能，以实现最佳结果。手术治疗的目的是将各种盆腔器官恢复到适当的解剖位置。然而，解剖和功能结果之间的相关性较差。必须记住，骨盆包含许多结构，骨盆支撑或功能的缺陷经常影响其他骨盆器官。只有通过选择适当的治疗方式，解决个别患者问题的所有组成部分，才能实现最佳结果。
Obstructed defecation is a common problem that adversely affects the quality of life for many patients. Known causes of obstructed defecation include pelvic dyssynergy, rectocele, rectal intussusception, enterocele, pelvic organ prolapse, and overt rectal prolapse. Management of this condition requires an understanding of urinary, defecatory, and sexual function to achieve optimal outcomes. The goal of surgical treatment is to restore the various pelvic organs to their appropriate anatomic positions. However, there is a poor correlation between anatomic and functional results. It must be remembered that the pelvis contains many structures and that defects of pelvic support or function frequently affect other pelvic organs. Optimal outcomes can be achieved only by selecting appropriate treatment modalities that address all of the components of an individual patient's problem.