Scaglia M, Delaini G G, Ribero F, Comotti F, Hultén L
Divisione di Chirurgia Generale, Ospedale Maria Vittoria, Torino.
Chir Ital. 1993 Feb-Dec;45(1-6):183-8.
In the present work the Authors have studied 19 patients with occult rectal prolapse evaluating symptoms and functional results after posterior abdominal rectopexy. Symptoms of internal rectal procidentia appear as a definite syndrome. In our patients pain upon defecation, this being often localized to the perineal and sacral region, was observed in 14 on 19 cases, while fecal incontinence was present in 5 cases (29%) and rectal bleeding in 8 (44%). These compliances are relieved by the anatomical correction of the rectal intussusception, but the preexisting functional disorders in the mechanism of defecation appear to be unaffected by rectopexy. (Sensation of obstruction 11 cases (58%) preop. e 9 cases (53%) postop.).
在本研究中,作者对19例隐匿性直肠脱垂患者进行了研究,评估了经腹直肠固定术后的症状和功能结果。直肠内脱垂的症状表现为一种明确的综合征。在我们的患者中,19例中有14例在排便时出现疼痛,疼痛常局限于会阴和骶骨区域,5例(29%)出现大便失禁,8例(44%)出现直肠出血。通过直肠套叠的解剖学矫正可缓解这些并发症,但排便机制中先前存在的功能障碍似乎不受直肠固定术的影响。(术前有梗阻感的患者有11例(58%),术后有9例(53%))。