Cosendey B A, Chapuis G
Service de chirurgie A, CHUV, Lausanne.
Helv Chir Acta. 1990 Apr;56(6):943-6.
The surgical treatment of complete rectal prolapse has been the object of great controversy. Currently, it is believed that best results are obtained by transabdominal rectopexy. Even though these operations have low morbidity and mortality, a laparotomy may not be advisable for certain elderly or poor-risk patients. An alternative would then be the Delorme operation. The principle consists of an extensive perineal excision of the mucosa covering the prolapse, and a longitudinal plication of the rectal wall. From January 1988 to March 1989, 12 patients underwent the Delorme repair of rectal prolapse in our service with good results.
完全性直肠脱垂的外科治疗一直是极具争议的话题。目前,人们认为经腹直肠固定术能取得最佳效果。尽管这些手术的发病率和死亡率较低,但对于某些老年患者或高危患者而言,开腹手术可能并不适宜。那么,另一种选择就是德洛姆手术。其原理包括广泛经会阴切除覆盖脱垂部位的黏膜,以及直肠壁的纵行折叠。1988年1月至1989年3月,我们科室有12例患者接受了德洛姆直肠脱垂修补术,效果良好。