Blatchford G J, Perry R E, Thorson A G, Christensen M A
Department of Surgery, Creighton University, Omaha, Nebraska.
Am J Surg. 1989 Dec;158(6):574-6. doi: 10.1016/0002-9610(89)90196-7.
Forty-three patients underwent simple posterior suture rectopexy for repair of rectal prolapse. Follow-up was obtained in 42 patients (mean 28 months). The recurrence rate was 2 percent (one patient). Postoperative morbidity and mortality were 20 percent and 0, respectively. The proportion of continent patients increased from 36 percent preoperatively to 74 percent postoperatively. Constipation increased after suture rectopexy but was managed conservatively. We believe that simple suture rectopexy offers a safe and effective alternative to other, more complex procedures for the treatment of rectal prolapse.
43例患者接受了单纯后路缝合直肠固定术以修复直肠脱垂。42例患者获得随访（平均28个月）。复发率为2%（1例患者）。术后发病率和死亡率分别为20%和0。控便患者的比例从术前的36%增至术后的74%。缝合直肠固定术后便秘有所增加，但采用保守治疗。我们认为，对于直肠脱垂的治疗，单纯缝合直肠固定术是其他更复杂手术的一种安全有效的替代方法。
