摘要
目的探讨Delorme术式治疗直肠脱垂的临床效果。方法对2004年1月至2010年10月26例完全性直肠脱垂患者采用Delorme手术治疗的临床资料作回顾性分析。结果零死亡率,复发率为7.69%(2/26)。80%(16/20)肛门失禁患者肛门控便能力提升(最大肛管静息压、最大肛管自主收缩压、最大耐受容积明显增加)。平均住院时间7d(6～10d)。术后无疼痛16例(61.5%),中度7例(26.9%),高度3例(11.5%)。手术满意度高18例(69.2%),中5例(19.2%),低3例(11.5%)。结论 Delorme术式治疗完全性直肠脱垂有术后疼痛轻、复发率低、手术满意度高、肛门控便能力提升等特点。
Objective To evaluate the clinical and functional outcome of Delorme＇s perineal procedure.Methods From Jan 2004 to Oct 2010,twenty-six patients with complete rectal prolapse were studied.Age,gender,anesthetic risk,and accompanying symptoms were all assessed.Diagnostic tests performed including colonoscopy,anorectal manometry before and after surgery,and endoanal ultrasonography.Delorme＇s procedures were carried out by only one surgical team.Results No mortality occurred,and morbidity was minimal.Relapse rate of prolapse was 7.69% with a mean follow-up of 31 months.Anal continence improved in 80% of patients,and no surgery associated constipation ensued.Both maximum pressure at rest and maximum pressure at voluntary contraction increased obviously（P〈0.01）.Maximum tolerated volume reduced obviously（P〈0.01）.Mean hospital stay was 7（range 6-10） days.During the postoperative period no pain developed in 16 patients,and 7 patients had mild pain,and 3 patients had high pain.Satisfaction with surgery was high in 20 cases（76.9%）,moderate in 4（15.4%）,and low in 2（9.69%）.Satisfaction with surgery was high in 18（69.2%）,moderate in 5（19.2%）,and low in 3（11.5%）.Conclusion Delorme＇s procedure for the management of complete rectal prolapse is associated with mild pain,low morbidity,improves anal continence,gives rise to no postsurgical constipation,and has an acceptable relapse rate.
出处
《结直肠肛门外科》
2011年第6期354-357,共4页
Journal of Colorectal & Anal Surgery
