Scheye T, Vanneuville G, Marouby D, François H, Garcier J M
Service de Chirurgie Infantile, CHU Clermont-Ferrand.
J Chir (Paris). 1996 Jan;133(1):16-9.
Rectal procidentia represents classically only 2% of rectal prolapse in children. This rarity is more apparent than real, because peritoneographies showing the excess of migration of the rectogenital pouch, allows to diagnose more often this pathology. The normal trend of this anomaly of the infant and the young child even if it could be serious with strangulation is usually a spontaneous healing. Accordingly therapeutic indications should be cautious. Surgery is only indicated in confirmed or complicated forms. After analysis of the statistic of 52 observations, the modified Lockhart-Mummery is our prefered procedure. It needs a short and simple surgery and the results appear satisfactory.
直肠脱垂在儿童直肠脱垂中经典地仅占2%。这种罕见情况更多是表面现象而非实际情况，因为通过显示直肠生殖陷凹过度移位的腹膜造影，能够更频繁地诊断出这种病症。婴儿和幼儿这种异常情况的正常发展趋势，即便可能因绞窄而严重，但通常会自行愈合。因此，治疗指征应谨慎。手术仅适用于确诊或复杂的病例。在分析了52例观察病例的统计数据后，改良的洛克哈特 - 马默里手术是我们首选的术式。它所需的手术操作简短且简单，结果似乎令人满意。
