Watts J D, Rothenberger D A, Buls J G, Goldberg S M, Nivatvongs S
Dis Colon Rectum. 1985 Feb;28(2):96-102. doi: 10.1007/BF02552654.
This is a retrospective study evaluating 179 patients with complete rectal prolapse operated on at the University of Minnesota affiliated hospitals from 1953 to 1983 with no mortality. One hundred and two of 138 patients who underwent abdominal proctopexy and sigmoid resection were followed from six months to 30 years with a recurrence rate of 1.9 percent. Twenty-two of the 33 patients who underwent perineal rectosigmoidectomy were followed from six months to three years with no recurrence. Nine patients who underwent abdominal proctopexy and subtotal colectomy because of colonic inertia associated with procidentia were followed from one to six years with no recurrence. Patient interviews revealed that 72 to 80 percent considered their results as excellent or good. Incontinence or persistent constipation caused the remaining patients to consider their results fair or poor, despite anatomic correction of the prolapse. Abdominal proctopexy and sigmoid resection was more likely to result in improvement of continence than was perineal rectosigmoidectomy.
这是一项回顾性研究，评估了1953年至1983年在明尼苏达大学附属医院接受完全直肠脱垂手术的179例患者，无一例死亡。138例行腹部直肠固定术和乙状结肠切除术的患者中，102例随访了6个月至30年，复发率为1.9%。33例行会阴直肠乙状结肠切除术的患者中，22例随访了6个月至3年，无复发。9例因直肠脱垂相关的结肠惰性而行腹部直肠固定术和结肠次全切除术的患者随访了1至6年，无复发。患者访谈显示，72%至80%的患者认为其结果为优或良。尽管脱垂已得到解剖学矫正，但失禁或持续性便秘使其余患者认为其结果为一般或差。与会阴直肠乙状结肠切除术相比，腹部直肠固定术和乙状结肠切除术更有可能改善控便能力。
