Qvist N, Rasmussen L, Klaaborg K E, Hansen L P, Pedersen S A
J Pediatr Surg. 1986 Oct;21(10):887-8. doi: 10.1016/s0022-3468(86)80015-x.
In infancy there are two types of rectal prolapse. One type is less pronounced and intermittent. This type occurred in 9 out of 17 children referred for rectal prolapse and ceased after a few weeks' conservative treatment. The other type is a more pronounced prolapse occurring at nearly each defecation and lasting several weeks or months. These patients may need an operation, especially when ulceration of the mucosa occurs. In our patients, a Lockhart-Mummery operation was used successfully in all but one patient. No complications were observed. Though less extensive treatment, such as submucosal injection of sclerosing agents, is recommended to be the first method of choice because pathoanatomically the prolapse in infancy is frequently a prolapse of the mucosa, in patients where this therapy does not succeed, a Lockhart-Mummery operation may be an alternative.
婴儿期有两种类型的直肠脱垂。一种类型不太明显且呈间歇性。在转诊来治疗直肠脱垂的17名儿童中，有9名出现这种类型，经过几周的保守治疗后停止。另一种类型是每次排便时几乎都会出现更明显的脱垂，持续数周或数月。这些患者可能需要手术，尤其是当黏膜发生溃疡时。在我们的患者中，除一名患者外，所有患者均成功进行了洛克哈特-马默里手术。未观察到并发症。尽管推荐采用不太广泛的治疗方法，如黏膜下注射硬化剂作为首选的第一种方法，因为从病理解剖学角度来看，婴儿期的脱垂通常是黏膜脱垂，但在这种治疗方法不成功的患者中，洛克哈特-马默里手术可能是一种替代方法。
