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[孤立性直肠溃疡综合征——复发性直肠出血的罕见病因]

[Syndrome of solitary rectal ulcer--a rare cause of recurrent rectal hemorrhage].

作者信息

Ozgültekin R, Ersan Y, Uras C, Göksel S, Akçal T

机构信息

Klinik für Allgemeinchirurgie, Medizinische Fakultät Cerrahpaşa.

出版信息

Chirurg. 1993 Aug;64(8):653-6.

PMID:8404294
Abstract

While the clinical symptoms and signs of SRUS are quite obvious, etiology and treatment of the disease remain to be obscure. Although the lesion is usually not solitary this name has been used for the disease. According to other authors, we also find this term inappropriate. During the last 5 years 6 cases of SRUS have been diagnosed, treated and prospectively assessed in the surgical clinic of Cerrahpaşa Medical Faculty (Istanbul). Three patients were treated successfully by conservative means, transanal excision was performed and defects were sutured primarily in the other three. In one patient recurrence was seen 8 days after the transanal excision; transabdominal rectopexy was performed 6 months later. All patients have been followed up with no complaints.

摘要

虽然SRUS的临床症状和体征相当明显,但其病因和治疗方法仍不明确。尽管该病变通常并非孤立存在,但这个名称一直被用于指代该疾病。根据其他作者的观点,我们也认为这个术语不合适。在过去5年里,切拉比耶医科大学(伊斯坦布尔)外科诊所诊断、治疗并前瞻性评估了6例SRUS患者。3例患者通过保守治疗成功治愈,另外3例进行了经肛门切除术并对缺损进行了一期缝合。1例患者在经肛门切除术后8天出现复发,6个月后进行了经腹直肠固定术。所有患者均接受了随访,无任何不适主诉。

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