Hight D W, Hertzler J H, Philippart A I, Benson C D
Surg Gynecol Obstet. 1982 Mar;154(3):400-2.
Rectal prolapse in pediatric patients has different anatomic causative and, hence, therapeutic significance from prolapse or procidentia encountered in adults. Medical management successfully relieves prolapse in a large percentage of pediatric patients. Seventy-three patients in whom the correction of rectal prolapse by medical management failed underwent linear cauterization of the anorectum. Seventy-one were treated successfully. Five children had an additional cauterization for the permanent relief of rectal prolapse. One patient required an additional extensive operation to prevent recurrence. This successful method of managing rectal prolapse has been associated with a low morbidity rate and should be considered before attempting more complex alternative surgical procedures.
小儿直肠脱垂与成人的脱垂或脱肛具有不同的解剖学病因及治疗意义。药物治疗能成功缓解大部分小儿患者的脱垂症状。73例经药物治疗直肠脱垂矫正失败的患者接受了直肠肛管线性烧灼术。其中71例治疗成功。5名儿童为永久缓解直肠脱垂接受了额外烧灼术。1例患者需要额外进行广泛手术以预防复发。这种成功的直肠脱垂治疗方法发病率低，在尝试更复杂的替代手术之前应予以考虑。
