Division of Colon and Rectal Surgery, University of Minnesota, Minneapolis, MN 55455, USA.
Surg Clin North Am. 2013 Feb;93(1):187-98. doi: 10.1016/j.suc.2012.09.010. Epub 2012 Nov 2.
Optimal management of rectal prolapse requires multiple clinical considerations with respect to treatment options, particularly for surgeons who must counsel and give realistic expectations to rectal prolapse patients. Rectal prolapse outcomes are good with respect to recurrence. Although posterior rectopexy remains most popular in the United States, increasingly surgeons perform ventral rectopexy to repair rectal prolapse. Functional outcomes vary and are fair after rectal prolapse repair. Although incarceration with rectal prolapse is rare, it is potentially life threatening and requires immediate and effective measures to adequately address in the acute setting.
直肠脱垂的最佳治疗方案需要综合考虑多种临床因素,特别是外科医生在为患者提供建议和现实预期时更应如此。直肠脱垂的复发率低,治疗效果良好。尽管直肠后固定术在美国仍最为流行,但越来越多的外科医生开始采用经腹直肠固定术治疗直肠脱垂。直肠脱垂修复术后的功能预后不一,结果尚可。尽管直肠脱垂合并嵌顿较为少见,但可能危及生命,需要在急性发作时采取及时有效的措施进行充分治疗。