• 第三軍醫(yī)大學大坪醫(yī)院野戰(zhàn)外科研究所外科(重慶 400042);

目的 評價采用圓形吻合器治療直腸黏膜脫垂的安全性和可行性. 方法 回顧性分析2002年10月至2006年1月我院手術治療的42例直腸黏膜脫垂患者的臨床資料,其中直腸內黏膜脫垂22例,直腸外黏膜脫垂20例,均經排糞造影診斷. 結果 42例均行經肛門直腸黏膜環(huán)切術(procedure for prolapse and haemorrhoids,PPH),術后隨訪2～40個月,2例術后半年少量便血,腸鏡檢查為吻合口絲線縫合處肉芽生長所致.總有效率為88.1%(37/42),其中直腸內黏膜脫垂有效率為81.8%(18/22),直腸外黏膜脫垂有效率達95.0%(19/20). 結論 PPH術治療直腸外黏膜脫垂優(yōu)于直腸內黏膜脫垂,手術簡便.

引用本文： 張連陽,劉寶華,童衛(wèi)東,張勝本. 圓形吻合器直腸黏膜環(huán)切術治療直腸黏膜脫垂. 中國普外基礎與臨床雜志, 2008, 15(1): 61-62. doi: 復制

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  1. 1. <><> [1]Orrom W,Hayashi A,Rusnak C,et al.Initial experience with stapled anoplasty in the operative management of prolapsing hemorrhoids and mucosal rectal prolapse[J].Am J Surg,2002; 183(5)∶519.
  2. 2. 張連陽,劉寶華,文亞淵,等.圓形吻合器直腸黏膜環(huán)切術治療直腸黏膜脫垂的療效[J].第三軍醫(yī)大學學報,2004; 26(12)∶1042.
  3. 3. Berman IR,Harris MS,Rabeler MB.Delorme’s transrectal excision for internal rectal prolapse.Patient selection,technique,and three-year follow-up[J].Dis Colon Rectum,1990; 33(7)∶573.
  4. 4. 張連陽,張勝本,黃顯凱,等.直腸內脫垂382例的診斷和治療[J].世界華人消化雜志,1999; 7(7)∶620.
  5. 5. 李勝龍,尹廷寶,鮑銘,等.對"《PPH暫行規(guī)范》修訂"的探討[J].中國普外基礎與臨床雜志,2007; 14(3)∶362.
  6. 6. 傅傳剛,張衛(wèi),王漢濤,等.吻合器環(huán)形痔切除術[J].中國實用外科雜志,2001; 21(11)∶653.
  7. 7. Altomare DF,Rinaldi M,Chiumarulo C,et al.Treatment of external anorectal mucosal prolapse with circular stapler:an easy and effective new surgical technique[J].Dis Colon Rectum,1999; 42(8)∶1102.