1例分期手术治疗复发性直肠脱垂病例报告  

A case report of staged surgical treatment for recurrent rectal prolapse

作　　者：柯可 梁小霞[1] 龚嘉慰 苏丹[3,4] 任东林 Ke Ke;Liang Xiaoxia;Gong Jiawei;Su Dan;Ren Donglin(Department of Anorectal Surgery,Shenzhen Bao’an Traditional Chinese Medicine Hospital Group,Shenzhen 518100,Guangdong,China;Department of Anorectal Surgery,The Second Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330000,Jiangxi,China;Department of Anorectal Surgery,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,Guangdong,China;Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,Guangdong,China)

机构地区：[1]深圳市宝安区中医院肛肠外科,广东深圳518100 [2]江西中医药大学第二附属医院肛肠外科,江西南昌330000 [3]中山大学附属第六医院肛肠外科,广东广州510655 [4]广东省结直肠盆底疾病研究重点实验室,广东广州510655

出　　处：《结直肠肛门外科》2024年第5期562-569,共8页Journal of Colorectal & Anal Surgery

摘　　要：手术是治疗直肠脱垂的主要方法,虽然有多种手术方式可供选择,但是术后复发仍然是专科医师关注的重点问题之一。对于接受过多次手术治疗的复发性直肠脱垂患者,其局部解剖关系更为复杂,也面临着更高的术后复发率和更大的术后功能结局不良的可能性。中山大学附属第六医院肛肠外科收治了1例经历多次手术治疗后仍然复发的直肠脱垂患者,施行一期腹腔镜直肠腹侧补片固定术+后盆底重建术和二期经骶尾入路肛门括约肌折叠成形术之后随访12个月,手术疗效良好。本文报告该患者的临床诊治过程,与同道交流。Surgery is the primary treatment for rectal prolapse.Although multiple surgical procedures are available,postoperative recurrence remains a key concern for specialists.For patients with recurrent rectal prolapse who have undergone numerous surgeries,the local anatomical landscape is more complex,along with a higher risk of postoperative recurrence and adverse functional outcomes.The Department of Anorectal Surgery,The Sixth Affiliated Hospital,Sun Yatsen University admitted a patient with recurrent rectal prolapse who had undergone numerous surgeries.The patient underwent a staged surgical treatment including laparoscopic ventral mesh rectopexy with posterior pelvic floor reconstruction in the first-stage,followed by anal sphincter enfoldment and plasty via the transsacrococcygeal approach in the second-stage.During a 12-month follow-up,the surgical outcomes were favorable.This article reports the clinical diagnosis and treatment process of this patient,aiming to share our experience with fellow professionals.

关 键 词：复发性直肠脱垂 腹腔镜直肠腹侧补片固定术 后盆底重建术 肛门括约肌折叠成形术 分期手术 

分 类 号：R657.1[医药卫生—外科学]