Modified Gant procedure for treatment of internal rectal prolapse in elderly women  

作　　者：Peng-Peng Xu Yong-Hong Su Yan Zhang Tong Lu 

机构地区：[1]Department of Anorectal,Shandong Provincial Hospital(Group)Huaiyin People’s Hospital,Jinan 250021,Shandong Province,China [2]Department of Anorectal,Central Hospital Affiliated to Shandong First Medical University,Jinan 250013,Shandong Province,China [3]Department of Anorectal,Shanghe People’Hospital,Shanghe 251600,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2021年第29期8702-8709,共8页世界临床病例杂志

基　　金：Jinan Health Commission Science and Technology Project,No.2019-1-61.

摘　　要：BACKGROUND Although rectal prolapse is not a life-threatening condition,it can cause defecation disorders,anal incontinence,sensory abnormalities,and other problems that can seriously affect quality of life.AIM To study the efficacy of the modified Gant procedure for elderly women with internal rectal prolapse.METHODS Sixty-three elderly female patients with internal rectal prolapse underwent the modified Gant procedure.The preoperative and postoperative anal symptoms,Patient Assessment of Constipation Quality of Life(PAC-QOL),Wexner incontinence score,incontinence quality of life score,and complications(massive hemorrhage,infection,anorectal stenosis,and anorectal fistula)were compared.RESULTS The improvement rates of postoperative symptoms were defecation disorders(84.5%),anal distention(69.6%),defecation sensation(81.4%),frequent defecation(88.7%),and anal incontinence(42.9%)(P<0.05).All dimensions and total scores of the PAC-QOL after the procedure were lower than those before the operation(P<0.05).The postoperative anal incontinence score and Wexner score were significantly lower than those before the procedure(P<0.05).The quality of life and total scores of postoperative anal incontinence were significantly higher than those before the procedure(P<0.05).There were no serious complications and no deaths.CONCLUSION The modified Gant procedure has significant advantages in the treatment of elderly women with internal rectal prolapse.

关 键 词：Modified Gant procedure Intrarectal prolapse RECTAL PROLAPSE Elderly women 

分 类 号：R657.19[医药卫生—外科学]