Gant-Miwa联合肛门环缩及消痔灵注射术治疗16例直肠全层脱垂的临床观察  

Clinical analysis of 16 cases with complete rectal prolapse undergoing Gant-Miwa and anal encircling procedure with Xiaozhiling injection

作　　者：王大全[1] 刘晓丹[1] 林家嘉[1] 张成[1] 张雪峰[1] 

机构地区：[1]沈阳军区总医院普通外科,沈阳110840

出　　处：《国际外科学杂志》2015年第5期303-305,共3页International Journal of Surgery

摘　　要：目的 评价Gant-Miwa联合肛门环缩及消痔灵注射术治疗直肠全层脱垂的疗效.方法 回顾性分析2011年2月-2014年11月在沈阳军区总医院接受Gant-Miwa联合肛门环缩及消痔灵注射术的16例直肠全层脱垂患者的临床资料.结果 16例患者均手术顺利,术后脱垂症状消失,3例出现尿潴留,2例出现肛周术区感染而复发,1例肛周切口延迟愈合,2例出现直肠狭窄致便秘,无大出血、肛周脓肿、肛瘘等并发症,无围手术期死亡病例.术后13例患者接受了平均2.2年的随访,2例直肠脱垂复发.结论 Gant-Miwa联合肛门环缩及消痔灵注射术治疗直肠全层脱垂手术创伤小、术后并发症少、复发率较低,经创新及改良后更值得广泛开展.Objective To evaluate the efficacy of Gant-Miwa and anal encircling procedure with Xiaozhiling injection for complete rectal prolapse.Methods Clinical data of 16 patients with complete rectal prolapse undergoing Gant-Miwa and anal encircling procedure with Xiaozhiling injection between Feb.2011 and Nov.2014 were retrospectively analyzed.Results All patients were operated successufully and theirs prolapse symptons disappeared.Urinary retention was found in 3 cases,2 cases were observed a replase who were infected in the area of the anal operation,1 cases was found delayed healing of perianal incision,and 2 cases were happened constipation duing to the rectal stenosis.Complications wasn＇t happened such as bleeding,perianal abscess,anal fistula,and so on.Thirteen cases were followed-up of average 2.2 years and 2 cases were observed postoperative recurrance.Conclusions Gant-Miwa and anal encircling procedure with Xiaozhiling injection for the treatment of complete rectal prolapse is a procedure with minimally trauma,fewer complications and low recurrence rate,which is worth promoting after innovation and improvement.

关 键 词：直肠脱垂 Gant-Miwa术 肛门环缩术 消痔灵注射液 回顾性研究 手术后并发症 

分 类 号：R657.1[医药卫生—外科学]