Kuijpers J H, de Morree H
Department of General Surgery, Academic Hospital Nijmegen, The Netherlands.
Dis Colon Rectum. 1988 May;31(5):355-7. doi: 10.1007/BF02564883.
Defecographic evaluation was performed in 30 patients with rectal prolapse to assess the effect of posterior rectopexy on rectal function and to arrive at a selection of the best procedure. Preoperative defecography revealed rectal intussusception in all patients. Postoperative control studies showed adequate rectal fixation to the anterior sacral surface. Intussusception no longer occurred. Rectal stenosis due to the surgical procedure was absent. The described technique of posterior rectopexy eliminates the prolapse mechanism without creating new disorders and is therefore a rational procedure. Advocation of new procedures should also be based on results of colorectal tests that assess the effect of the procedures on rectal function.
对30例直肠脱垂患者进行排粪造影评估，以评估直肠后固定术对直肠功能的影响，并选择最佳手术方法。术前排粪造影显示所有患者均有直肠套叠。术后对照研究表明直肠已充分固定于骶骨前表面。套叠不再发生。未出现因手术操作导致的直肠狭窄。所描述的直肠后固定术技术消除了脱垂机制，且未引发新的问题，因此是一种合理的手术方法。新手术方法的提倡也应基于评估手术对直肠功能影响的结直肠检查结果。
