1例经肛回肠脱垂病例报告  

A case report of ileum protruded outside the anus

作　　者：李勇骑 牛明了[2] 张龙江[2] 赵玉洲[3] 程艺伟 唐诚馨 王晓雯 Li Yongqi;Niu Mingliao;Zhang Longjiang;Zhao Yuzhou;Cheng Yiwei;Tang Chengxin;Wang Xiaowen(The Second Clinical Medical College of Henan University of Traditional Chinese Medicine,Zhengzhou 450002,Henan,China;Department of Anorectal Diseases,Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou 450002,Henan,China;Department of General Surgery,Henan Cancer Hospital,Zhengzhou 450003,Henan,China)

机构地区：[1]河南中医药大学第二临床医学院,河南郑州450002 [2]河南省中医院肛肠科,河南郑州450002 [3]河南省肿瘤医院普外科,河南郑州450003

出　　处：《结直肠肛门外科》2024年第3期379-383,388,共6页Journal of Colorectal & Anal Surgery

摘　　要：直肠脱垂术后复发是临床关注的问题,术后复发性直肠脱垂患者的再次手术治疗需要综合患者因素、手术特点和手术风险、医师团队的临床实践经验等方面的情况来选择手术方案,以减轻患者对于手术治疗的心理负担和提升患者对于手术治疗的满意度。笔者团队收治了1例经肛回肠脱垂患者,其曾因复发性直肠脱垂反复接受手术治疗。该患者在回肠脱出于肛门外之后接受了回肠系膜折叠+末端回肠系膜悬吊固定+肛门环缩术治疗,术后1年内未再诉肛内肿物脱出。本文报告该患者的临床诊治过程,与同道交流。Recurrence of rectal prolapse after surgery is a clinical concern.The reoperation strategy for patients with recurrent rectal prolapse requires comprehensive consideration of patient factors,surgical characteristics,surgical risks,and the clinical experience of the surgical team to alleviate patients’psychological burden towards surgical treatment and enhance their satisfaction with the treatment outcomes.Our team encountered a patient with ileum protruded outside the anus,who had undergo repeated surgeries for recurrent rectal prolapse.After the ileum protruded outside the anus,this patient underwent ileal mesentery plication,terminal ileal mesentery suspension and fixation,and Thiersch operation.No recurrence of anal mass protrusion was reported within one year post-surgery.This paper reports the clinical diagnosis and treatment process of this patient for peer exchange.

关 键 词：回肠脱垂 复发性直肠脱垂 Altemeier术 回肠系膜折叠术 

分 类 号：R656.7[医药卫生—外科学]