Biehl A G, Ray J E, Gathright J B
South Med J. 1978 Aug;71(8):923-5. doi: 10.1097/00007611-197808000-00016.
Forty-eight patients with rectal prolapse were seen at Ochsner Clinic from 1955 to 1977. The charts of these patients were reviewed to assess the results of treatment and to evaluate a suggested association between rectal prolapse and solitary rectal ulcer syndrome. Since 1970 the Ripstein sling procedure has been used exclusively to treat those patients with rectal prolapse who are able to undergo a transabdominal procedure. We compared the results of this procedure with the ones formerly used: perineal (Altemeer), sigmoidectomy, and Thiersch procedures. Although the earlier operations for rectal prolapse were associated with either a high recurrence or a high complication rate, the Ripstein has both a low recurrence and a low morbidity rate: two patients had recurrence and two had the sling applied too tightly. The Ripstein procedure was shown to be an effective, safe procedure for repair of rectal prolapse, and the result was considered satisfactory by 20 of the 21 patients questioned. Regarding the association of rectal ulcer and rectal prolapse, we found that, although the symptoms of the solitary rectal ulcer syndrome and rectal prolapse are similar, they appear to represent a different response to the same stimulus, and the syndrome is relatively unabated by repair.
1955年至1977年期间，奥施纳诊所共收治了48例直肠脱垂患者。对这些患者的病历进行了回顾，以评估治疗效果，并评估直肠脱垂与孤立性直肠溃疡综合征之间可能存在的关联。自1970年以来，里普斯坦吊带手术一直专门用于治疗那些能够接受经腹手术的直肠脱垂患者。我们将该手术的结果与以前使用的手术结果进行了比较：会阴（阿尔特米尔）手术、乙状结肠切除术和蒂尔施手术。尽管早期的直肠脱垂手术复发率高或并发症发生率高，但里普斯坦手术的复发率和发病率都很低：2例患者复发，2例患者吊带应用过紧。里普斯坦手术被证明是一种有效、安全的直肠脱垂修复手术，在接受询问的21例患者中，有20例认为结果令人满意。关于直肠溃疡与直肠脱垂的关联，我们发现，尽管孤立性直肠溃疡综合征和直肠脱垂的症状相似，但它们似乎代表了对相同刺激的不同反应，并且该综合征在修复后相对没有减轻。
