盆底松弛直肠脱垂的微创治疗  

Minimally invasive therapy of relaxed pelvic floor and internal rectal mucosal prolapse

作　　者：梁秀芝[1] 钟晨熙[1] 伍冀湘[1] 

机构地区：[1]首都医科大学附属北京安贞医院普外科,100029

出　　处：《腹部外科》2008年第3期140-141,共2页Journal of Abdominal Surgery

摘　　要：目的探讨直肠黏膜脱垂及直肠前突导致排便障碍的微创治疗方法。方法回顾性分析我院2003年12月-2005年12月收治的直肠黏膜脱垂、直肠黏膜脱垂合并直肠前突及单纯直肠前突共200例的临床资料。结果本组有194例（97％）行一次直肠黏膜环形切除（PPH）手术后排便障碍得到了缓解；有6例（3．0％）症状缓解不明显，其中，行2次PPH手术者4例，术后排便障碍缓解。结论PPH手术在治疗时恢复了肛管的通畅性，安全、迅速，住院时间短，恢复快，相对传统术式复发少，对于重度脱垂的病人可重复手术，效果好。Objective To discuss the minimally invasive therapy of dysporia caused by internal rectal mucosal prolapse and rectocele through procedure for prolapse and hemorrhoids（PPH）. Methods The clinical data of. 200 cases of internal rectal mucosal prolapse, internal rectal mucosal prolapse with rectocele and simple rectocele from Dec. 2003 to Dec. 2005 were analyzed. Results The symptoms of dysporia disappeared in 97% （194）patients after once PPH operation; 3% （6）patients did not get symptomatic relief obviously, with 4 patients subject to second PPH the symptoms of dysporia relieved. Conclusion Through PPH, the anal canal was unobstructed. The PPH is safe and rapid with a short hospital stay and quick recovery. In comparison with the conventional surgical procedures, the recurrence rate by PPH was lower. Second PPH can be conducted in patients with severe prolapse.

关 键 词：直肠脱垂 直肠前突 外科手术 微创性 

分 类 号：R651.15[医药卫生—外科学] R657.19[医药卫生—临床医学]