摘要
目的 探讨治疗直肠黏膜内脱垂新手术方法。方法 采用吻合器直肠黏膜环切术治疗直肠黏膜内脱垂 42例 ,随访 2～ 2 4月。结果 手术时间平均约 18min ,住院日期 3d。术后有效的解除了临床症状 ,患者大便成形 ,排出通畅 ,所有患者均达到了治疗目的。 9例 (2 1 4% )在切割吻合后吻合口有搏动性出血。术后无继发出血。 17例 (4 0 .5 % )有尿潴留 ,需要导尿。 6例 (14 3 % )术后有肛门坠胀感。无复发。也无感染、直肠阴道瘘及感觉性肛门失禁等严重并发症发生。结论 吻合器直肠黏膜环切术治疗直肠黏膜内脱垂具有安全、高效、操作简便及微创等优点 ,是一个极具潜力的手术方法。
Objective To explore the new approach of operatively treating internal rectal mucosal prolapse. Methods 42 patients with internal rectal mucosal prolapse were treated with circular stapling procedure, and followed-up for 2～24 months after operation. Results Mean operative time circular stapling procedure was 18 minutes, and mean hospitalization time of the patients was 3 days. The clinical symptoms were obviously improved after operation. Anastomotic stoma bleeding was found in 9 patients (21.4 %) during operation. Urinary retension was found in 17 patients (40.5%), who needed catheterization. Sensation of rectal tenesmus occurred in 6 patients(14.3%). Infection, anal incontinence and rectovaginal fistula were not found in all the patients. Conclusion Circular stapling procedure is safe, simple and effective technique for treating internal rectal mucosal prolapse with the advantages of minimal invasion.
出处
《中国医师杂志》
CAS
2005年第1期38-40,共3页
Journal of Chinese Physician
