Gemsenjäger E
Chirurgische Abteilung, St. Claraspital, Basel.
Schweiz Med Wochenschr. 1988 May 28;118(21):814-6.
Over a 2 1/2 year period a prospective study was undertaken to evaluate the occurrence and symptoms of rectal intussusception (internal procidentia). The condition was found in 28 female patients. 17 patients were operated on due to severe obstruction during defaecation, perineal pain, solitary rectal ulcer syndrome, and partial incontinence. The endopelvic findings were similar to those encountered in patients with complete, external rectal prolapse, and the operative procedure was identical (rectal mobilization, elevation, fixation, with rectosigmoid resection in most cases). Results were favorable. Conservative treatment seemed to be adequate in 7 of the 11 remaining patients.
在2年半的时间里，进行了一项前瞻性研究，以评估直肠套叠（直肠内脱垂）的发生率和症状。在28名女性患者中发现了这种情况。17名患者因排便时严重梗阻、会阴部疼痛、孤立性直肠溃疡综合征和部分失禁而接受手术。盆腔内的发现与完全性直肠外脱垂患者相似，手术操作相同（直肠游离、抬高、固定，大多数情况下行直肠乙状结肠切除术）。结果良好。其余11名患者中的7名采用保守治疗似乎就足够了。
