改良Delorme手术治疗直肠脱垂的安全性和有效性。
Safety and efficacy of Modified Delorme's procedure for rectal prolapse.
作者信息
Dhakariya Nandram, Kushram Bhupesh, Badlani Bharti, Sachan Anjulika, Kumar Abhay
机构信息
Department of General Surgery, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India.
Department of Ophthalmology, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India.
出版信息
Bioinformation. 2025 Jun 30;21(6):1585-1588. doi: 10.6026/973206300211585. eCollection 2025.
Modified Delorme's Procedure is a safe and effective perineal approach to treat complete rectal prolapse, especially in the elderly and high-risk patients unfit for trans-abdominal surgery. Hence, a total of 65 patients (mean age 62.3 years; female: male ratio 6:1) underwent Modified Delorme's Procedure. The present prospective study of 65 patients with a mean age of 62.3 years, with a female to male ratio of 6:1, demonstrated a 92.3% success rate, with marked improvement in obstructed defecation and fecal continence on validated scales. Minimal postoperative complications included a recurrence rate of 7.7% and transient anal stenosis in 4.6%. The combination of mucosal stripping, muscular plication and adjunct postanal repair offers durable relief of symptoms with less morbidity than abdominal procedures.
改良德洛姆手术是一种安全有效的会阴入路手术，用于治疗完全性直肠脱垂，尤其适用于不适于经腹手术的老年患者和高危患者。因此，共有65例患者（平均年龄62.3岁；女性与男性比例为6:1）接受了改良德洛姆手术。本前瞻性研究纳入了65例平均年龄62.3岁、女性与男性比例为6:1的患者，结果显示成功率为92.3%，在经过验证的量表上，排便梗阻和大便失禁情况有显著改善。术后最小并发症包括7.7%的复发率和4.6%的短暂性肛门狭窄。黏膜剥离、肌肉折叠和辅助性肛门后修复相结合，能持久缓解症状，且发病率低于腹部手术。
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