11例直肠内脱垂伴盆底疝的外科治疗  

SURGICAL TREATMENT OF INTRARECTAL PROCTOPTOSIS ACCOMPANYING WITH PELVIC FLOOR HERNIATION(REPORT OF 11 CASES)

作　　者：黄大春[1] 吴继东[1] 周建[1] 张胜本[2] 

机构地区：[1]重庆市第一人民医院,重庆400011 [2]第三军医大学大坪医院,重庆400042

出　　处：《中国普外基础与临床杂志》2001年第1期24-25,共2页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的　探讨出口梗阻性便秘常见病因之直肠内脱垂伴盆底疝的手术治疗效果。方法　搜集我院近年手术治疗的 11例直肠内脱垂伴盆底疝患者的临床资料 ,分析其病例特点、手术方式及疗效。结果　 11例患者中 9例 (占 82 % )术后 1周症状立即缓解 ,2例经术后配合功能锻炼 3个月后症状亦缓解消失。结论　功能性直肠悬吊术附加盆底疝修补术 ,盆底抬高 ,子宫固定 ,乙状结肠 (部分 )切除术是治疗直肠内脱垂伴盆底疝的有效方法。Objective\ To explore the operative result of intrarectal proctoptosis accompanying hernia of pelvic floor due to common outlet obstructive constipation(OOC).Methods\ Eleven cases of intrarectal proctoptosis with of pelvic floor surgically treated were analysed. Results In a week following operation, 9 of 11 patients' symptoms disappeared, the other 2 cases recovered after 3 months, functional exercise. Conclusion\ Functional rectal suspension combined with repair of pelvic, partial sigmoidectomy, surgical elevation of pelvic floor and hysteropexy are highly effective in alleviating symptoms in patients with intrarectal proctoptosis accompanying pelvic floor herniation.

关 键 词：直肠内脱重 盆底疝 并发症 外科手术 

分 类 号：R657.19[医药卫生—外科学]