Aboulola M, Boukheloua B, Bouhadef A, Illoul G
Chir Pediatr. 1978;19(2):111-2.
In the treatment of familial polyposis the conservation of the rectum is essential to assure a convenient control and rhythm of defecation. Meanwhile the future of resting polyps deserves the attention of the surgeon. Certain authors are optimistic and claim that spontaneous regression of the polyps is possible. Our experience illustrates that the rectal mucosa tends to fabricate new crops of polyps. The prolonged post operative observation of more than 4 years of polyposis in one family has permitted us to follow the evolution of the rectal mucosa and to deduce that gravity of the lesion is quite variable. The polypotique character of the rectal mucosa must influence the choice of certain surgical technic specially that nine of them achieve entire satisfaction yet.
在家族性腺瘤性息肉病的治疗中,保留直肠对于确保排便控制方便和规律至关重要。同时,静止性息肉的未来值得外科医生关注。某些作者持乐观态度,声称息肉有可能自发消退。我们的经验表明,直肠黏膜倾向于产生新的息肉。对一个家族性腺瘤性息肉病患者进行了超过4年的术后长期观察,使我们能够追踪直肠黏膜的演变,并推断病变的严重程度差异很大。直肠黏膜的息肉样特征必定会影响某些手术技术的选择,特别是其中九种技术尚未完全令人满意。