Transanal surgery for obstructed defecation syndrome: Literature review and a single-center experience.
Transanal surgery for obstructed defecation syndrome: Literature review and a single-center experience.
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经肛门手术治疗排便梗阻综合征：文献综述和单中心经验。
DOI：
10.3748/wjg.v22.i35.7983
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发表时间：
2016-09-21
影响因子：
4.3
通讯作者：
Qian Q
中科院分区：
文献类型：
--
作者：
Liu WC;Wan SL;Yaseen SM;Ren XH;Tian CP;Ding Z;Zheng KY;Wu YH;Jiang CQ;Qian Q
排便障碍综合征（obstructed排便syndrome，ODS）是结直肠外科医生和胃肠科医生常见的功能性疾病，从社会和心理两方面严重影响患者的生活质量。ODS的基础解剖学和病理生理学变化是复杂的。然而，直肠内肠套叠和直肠前突在ODS患者中常见，并且两者被认为在ODS的发病机制中起重要作用。随着肛门直肠生理学实验室和放射学研究评估方法的发展，各种新的手术方法，特别是经肛门手术，已被发明来治疗ODS。然而，目前还没有一种方法被证明上级其他方法。每种手术都有其优点和缺点。因此，选择合适的经肛门手术治疗ODS仍然是所有外科医生的挑战。这篇综述介绍了目前ODS治疗的问题和选择，并详细总结了在进行经肛门手术前对患者进行评估所需的基本评估。此外，综述了目前经肛门手术治疗ODS的优点和存在的问题。本文还介绍了作者所在中心使用的一些经肛手术技术的临床经验报告。
Obstructed defecation syndrome (ODS) is a functional disorder commonly encountered by colorectal surgeons and gastroenterologists, and greatly affects the quality of life of patients from both societal and psychological aspects. The underlying anatomical and pathophysiological changes of ODS are complex. However, intra-rectal intussusception and rectocele are frequently found in patients with ODS and both are thought to play an important role in the pathogenesis of ODS. With the development of evaluation methods in anorectal physiology laboratories and radiology studies, a great variety of new operative procedures, especially transanal procedures, have been invented to treat ODS. However, no procedure has been proved to be superior to others at present. Each operation has its own merits and defects. Thus, choosing appropriate transanal surgical procedures for the treatment of ODS remains a challenge for all surgeons. This review provides an introduction of the current problems and options for treatment of ODS and a detailed summary of the essential assessments needed for patient evaluation before carrying out transanal surgery. Besides, an overview of the benefits and problems of current transanal surgical procedures for treatment of ODS is summarized in this review. A report of clinical experience of some transanal surgical techniques used in the authors’ center is also presented.
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影响因子：
3.9
作者：
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通讯作者：
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