直肠内脱垂的外科治疗进展  

Progress in Surgical Treatment of Internal Rectal Prolapse

作　　者：李宜璐 杨阳 魏东 LI Yilu;YANG Yang;WEI Dong(Graduate School of Xinxiang Medical College,Xinxiang 453000,China;Institute of Anal-Colorectal Surgery,No.989 Hospital of PLA,Luoyang 471031,China)

机构地区：[1]新乡医学院研究生学院,河南新乡453000 [2]联勤保障部队第九八九医院全军肛肠外科研究所,河南洛阳471031

出　　处：《医学综述》2023年第21期4662-4667,共6页Medical Recapitulate

摘　　要：直肠内脱垂(IRP)是一种盆底疾病,病因复杂、病程长,其虽属于良性疾病,但大多数患者症状严重,影响其生活质量。非手术治疗IRP的效果欠佳,手术治疗成为更多患者的选择。临床上手术方式较多,如网状直肠固定术、经肛门吻合器直肠黏膜切除术、直肠悬吊术,不同手术方法各有利弊,大多有局限性。术后常见并发症有便秘、出血、大便失禁、吻合口瘘、直肠狭窄等。深入探究IRP的病理机制,总结和创新更有利的术式、减少术后并发症的发生是未来研究的主要方向。Internal rectal prolapse(IRP)is a pelvic floor disease with complex etiology and long course.Although it is a benign disease,most patients have severe symptoms,which affect their quality of life.Non-surgical treatment is not effective,so surgical treatment becomes the choice of more patients.There are many clinical surgical methods,for example,mesh rectal fixation,transanal stapler rectal mucosal resection,rectal suspension and so on.Each of them has its own advantages and disadvantages,and most of them have limitations.Common postoperative complications include constipation,hemorrhage,fecal incontinence,anastomotic leakage,rectal stenosis,etc.It is the main direction of future research to continue to explore the pathological mechanism of IRP,summarize and develop more favorable surgical methods and reduce the incidence of postoperative complications.

关 键 词：直肠内脱垂 手术治疗 并发症 

分 类 号：R657.19[医药卫生—外科学]