Failes D, Killingback M, Stuart M, De Luca C
Aust N Z J Surg. 1979 Feb;49(1):72-5. doi: 10.1111/j.1445-2197.1979.tb06440.x.
One hundred and twenty-seven patients with complete rectal prolapse have been reviewed. The condition occurred more commonly in females than males (105 to 22), and at an older age in females (mean age 55 years compared with 40 years for males). Although the diagnosis is usually obvious, the importance of recognizing occult prolapse is stressed, especially in association with benign rectal ulcer, localized proctitis and colitis cystica profunda. Examination of the patient in the squatting position may assit in showing occult prolapse. Associated incontinence occurred in 33 patients (26%). Since 1971 the policy of this Unit has been to perform a Ripstein repair for complete rectal prolapse wherever possible. One hundred and two Ripstein repairs have not been performed. A minimum follow-up period of two years is available for 53 patients, of whom 50 (94%) have had their prolapse cured. Control of prolapse usually improves continence; however, seven (13%) remained incontinent despite surgery. The Ripstein repair is strongly advocated as the most effective operation for cure of complete rectal prolapse.
对127例完全性直肠脱垂患者进行了回顾性研究。该疾病在女性中比男性更常见（105例女性，22例男性），且女性发病年龄较大（平均年龄55岁，男性为40岁）。尽管诊断通常很明显，但强调了识别隐匿性脱垂的重要性，特别是与良性直肠溃疡、局限性直肠炎和深部囊性结肠炎相关时。让患者采取蹲位检查可能有助于发现隐匿性脱垂。33例患者（26%）伴有大便失禁。自1971年以来，本单位的策略是尽可能对完全性直肠脱垂患者施行里普斯坦修补术。已进行了102例里普斯坦修补术。53例患者有至少两年的随访期，其中50例（94%）脱垂已治愈。脱垂的控制通常会改善大便失禁情况；然而，7例（13%）患者尽管接受了手术仍存在大便失禁。强烈主张里普斯坦修补术是治疗完全性直肠脱垂最有效的手术方法。
