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直肠脱垂外科诊疗现状与进展

Current Status and Progress in the Surgical Diagnosis and Treatment of Rectal Prolapse
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摘要 直肠脱垂是指直肠黏膜或全层,甚至乙状结肠或肛管向下移位的一种疾病,中医称为“脱肛”。直肠脱垂发病率约为0.5%,以儿童和老年人多见。儿童随着骶骨的发育有自愈倾向;中青年患者以男性为著,多为幼儿时期疾病未愈发展而来;老年患者以女性常见。脱出物引起黏液渗出、出血及排便异常等,严重影响患者的生活质量,而外科手术是唯一可能治愈直肠脱垂的方法。然而,目前对于直肠脱垂的最佳手术方式仍存在争议。本文将对直肠脱垂的各种手术方式予以综述,为临床手术方式的选择提供一定的参考价值。 Rectal prolapse refers to a disease in which the rectal mucosa or the whole layer, or even the sig-moid colon or the anal canal is shifted downward. It is called “prolapsed” in traditional Chinese medicine. The incidence of rectal prolapse is about 0.5%, which is more common in children and the elderly. Children have a tendency to self-healing with the development of the sacrum. Young and middle-aged patients are mainly male, mostly from the unhealed development of diseases in early childhood. Elderly patients are common in women. Exudate causes mucus exudation, bleeding and abnormal defecation, seriously affecting the quality of life of patients. Surgery is the only possible way to cure rectal prolapse. However, the best surgical method for rectal prolapse is still controver-sial. This article will review the various surgical methods of rectal prolapse, and provide some ref-erence value for the selection of clinical surgical methods.
出处 《临床医学进展》 2024年第3期28-36,共9页 Advances in Clinical Medicine
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