Gaj F, Trecca A, Andreuccetti J, Crispino P
Dipartimenti di Chirurgia Generale e Trapianti d'Organo, Istituto Paride Stefanini, Universita' degli Studi di Roma, Roma, Italia.
Clin Ter. 2012 Nov;163(6):e405-7.
Rectal mucosal prolapse was characterized by the protrusion of the mucosa alone in the rectal lumen. Hemorrhoidal prolapse is an extreme pathological condition oh haemorrhoidal disease. The Authors after an experience conducted in ambulatory patients have performed a technique for the staging of rectal mucosal prolapse and hemorrhoidal prolapse based on the use of an endorectal silicone catheter with a balloon in the extremity.
A total of 40 patients with proctological symptoms during ambulatory visit has been submitted to a less invasive test in comparison to those traditional, using an endorectal silicone catheter with a balloon in the extremity, to insert in rectal lumen and to remove outside through the anus.
Only in 18 patients, the method gave the exact size of the prolapse and only 16 patients was able to accurately predict the reducibility or not. Of the 18 patients in 12 patients showed a mucosal prolapse was 50% of the circumference of the anal canal, in 6 patients showed a prolapse was between 50% and 75%. In 22 patients had been diagnosed with the absence of prolapse, then denied by the plug test that showed prolapse below the 50%.
The assessment of mucosal prolapse and hemorrhoidal prolapse through silicone catheter test has not proven better than the traditional plug test.
直肠黏膜脱垂的特征是仅黏膜在直肠腔内突出。痔脱垂是痔病的一种极端病理状况。作者在门诊患者中积累经验后，基于使用末端带有球囊的直肠内硅胶导管，开展了一种直肠黏膜脱垂和痔脱垂的分期技术。
共有40名门诊时有直肠疾病症状的患者接受了一项与传统检查相比侵入性较小的检查，即使用末端带有球囊的直肠内硅胶导管插入直肠腔并经肛门取出。
只有18名患者通过该方法得出了脱垂的确切大小，仅有16名患者能够准确预测是否可回纳。在这18名患者中，12名患者显示黏膜脱垂占肛管周长的50%，6名患者显示脱垂在50%至75%之间。22名患者被诊断为无脱垂，但塞子试验显示脱垂低于50%，从而否定了之前的诊断。
通过硅胶导管试验评估黏膜脱垂和痔脱垂并未证明比传统的塞子试验更好。
