经腹直肠固定术联合补片修补术治疗成人全层直肠脱垂
[Transabdominal rectopexy with mesh repair for full-thickness rectal prolapse in adults].
作者信息
Feng Hui, Chen Jun-kui, Wang Qiang, Luo Dong-feng
机构信息
Department of Surgery, The Fifth People's Hospital of Fuyang City, Anhui Fuyang 236001, China.
出版信息
Zhonghua Wei Chang Wai Ke Za Zhi. 2010 Aug;13(8):601-3.
OBJECTIVE
To investigate the efficacy of transabdominal rectopexy with mesh repair for adults with full-thickness rectal prolapse (II-III degree).
METHODS
Between January 2005 and March 2009, 11 adult patients with full-thickness rectal prolapse (II-III degree) were treated by transabdominal rectopexy with mesh repair. Clinical data were analyzed retrospectively.
RESULTS
Of the 11 cases of rectal prolapse, 7 cases were in II degree, 4 in III degree. Operative time ranged from 1.8 to 2.6 hours. Estimated blood loss during operation ranged from 50 to 300 ml. There was only one patient developed urinary retention postoperatively and no other complications were observed. After follow-up from 1 to 3 years, no recurrence was found. Patients had good anal function during the follow up.
CONCLUSION
Transabdominal recopexy with mesh repair is a simple procedure with low recurrence rate.
目的
探讨经腹直肠固定加补片修补术治疗成人全层直肠脱垂（Ⅱ-Ⅲ度）的疗效。
方法
2005年1月至2009年3月，对11例成人全层直肠脱垂（Ⅱ-Ⅲ度）患者行经腹直肠固定加补片修补术治疗。对临床资料进行回顾性分析。
结果
11例直肠脱垂患者中，Ⅱ度7例，Ⅲ度4例。手术时间为1.8至2.6小时。术中估计失血量为50至300毫升。术后仅1例患者出现尿潴留，未观察到其他并发症。随访1至3年，无复发。随访期间患者肛门功能良好。
结论
经腹直肠固定加补片修补术操作简单，复发率低。
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