直肠脱垂会阴入路三种常用术式的研究进展与临床应用  

Research progress and clinical application of three common perineal repairs for rectal prolapse

作　　者：张如洁 陈光华[2] 冷冬玲 孙娟玲 王燕 ZHANG Rujie;CHEN Guanghua;LENG Dongling;SUN Juanling;WANG Yan(School of Clinical Medicine,Jiangxi University of Traditional Chinese Medicine,Nanchang 330000,China;Affiliated Hospital,Jiangxi University of Traditional Chinese Medicine,Nanchang 330000,China)

机构地区：[1]江西中医药大学临床医学院,江西南昌330000 [2]江西中医药大学附属医院,江西南昌330000

出　　处：《空军军医大学学报》2022年第4期495-497,501,共4页Journal of Air Force Medical University

基　　金：江西省卫生健康委员会科技计划项目(SKJP420202664)。

摘　　要：直肠脱垂是一种较为常见的老年女性及儿童发病率较高的盆底功能障碍性疾病,根据脱垂程度不同可分为完全性直肠脱垂、不完全脱垂、直肠内脱垂。目前,外科治疗是治愈直肠脱垂的主要方式。直肠脱垂的外科治疗术式多样,手术疗效不尽相同,主要分为腹部手术和会阴手术。此文对近年来国内外临床上应用并报道较多的经会阴入路的三种常用外科术式相关研究进展及其临床应用作一评述。Rectal prolapse is a common pelvic floor dysfunction disease with a higher incidence in elderly women and children.According to the different degrees of prolapse,it can be divided into complete rectal prolapse,incomplete prolapse,and internal rectal prolapse.At present,surgical treatment is the main way to cure rectal prolapse.There are various surgical treatments for rectal prolapse,and the curative effects of the operations are different.They are mainly divided into abdominal surgery and perineal surgery.This article reviews the research progress and clinical application of three common surgical procedures of perineal approach that have been used and reported more clinically at home and abroad in recent years.

关 键 词：直肠脱垂 会阴手术 经肛吻合器直肠切除术 Delorme术 Altemeier术 

分 类 号：R657.19[医药卫生—外科学]