老年高危患者直肠脱垂的会阴切除术：十年经验
Perineal excision of rectal procidentia in elderly high-risk patients. A ten-year experience.
作者信息
Ramanujam P S, Venkatesh K S, Fietz M J
机构信息
Department of Surgery, Walter O. Boswell Memorial Hospital, Sun City, Arizona.
出版信息
Dis Colon Rectum. 1994 Oct;37(10):1027-30. doi: 10.1007/BF02049318.
PURPOSE
This report presents a ten-year experience with perineal excision and posterior levator ani repair in elderly, high-risk patients with complete rectal procidentia.
METHODS
Seventy-two patients with rectal prolapse were treated with perineal excision. Nine presented with acute incarcerated rectal prolapse. Mortality, morbidity, recurrence rates, and improvement of anal continence were assessed.
RESULTS
Recurrence rate was 5.5 percent. Improvement in anal continence was seen in 66.7 percent of patients. Morbidity and mortality was low.
CONCLUSIONS
Perineal excision of rectal prolapse is safe and has a low recurrence rate. Posterior levator ani repair seems to improve anal continence.
目的
本报告介绍了对老年高危完全直肠脱垂患者进行会阴切除术和肛提肌后修复术的十年经验。
方法
72例直肠脱垂患者接受了会阴切除术。9例为急性嵌顿性直肠脱垂。评估了死亡率、发病率、复发率和肛门节制功能的改善情况。
结果
复发率为5.5%。66.7%的患者肛门节制功能得到改善。发病率和死亡率较低。
结论
直肠脱垂会阴切除术安全，复发率低。肛提肌后修复术似乎可改善肛门节制功能。
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