Tobin S A, Scott I H
Department of Surgery, Ipswich Hospital, UK.
Br J Surg. 1994 Nov;81(11):1681-4. doi: 10.1002/bjs.1800811141.
A consecutive series of 49 elderly patients of mean age 73 years with full-thickness rectal prolapse underwent the Delorme operation between 1986 and 1990. A standard technique was used, or supervised, by one surgeon. In this prospective series, 43 patients were reviewed clinically. The Delorme operation abolished rectal prolapse in 32 patients. Half of the 40 with faecal incontinence were rendered continent. Failure was related to previous anorectal surgery and/or psychiatric illness. Of the 11 patients in whom the first procedure failed, four were improved by a second Delorme operation. The Delorme operation is a suitable procedure for elderly and/or medically unfit patients with rectal prolapse. Good results have also been demonstrated for younger patients, suggesting that the operation may have wider application.
1986年至1990年间，连续49例平均年龄73岁的全层直肠脱垂老年患者接受了德洛姆手术。所有手术均采用标准技术，由一名外科医生操作或指导。在这个前瞻性系列研究中，对43例患者进行了临床复查。德洛姆手术使32例患者的直肠脱垂消失。40例大便失禁患者中有一半恢复了控便能力。手术失败与既往肛肠手术和/或精神疾病有关。在首次手术失败的11例患者中，4例经再次德洛姆手术病情得到改善。德洛姆手术适用于患有直肠脱垂的老年和/或身体状况不佳的患者。该手术在年轻患者中也取得了良好效果，表明其应用范围可能更广。
