经腹直肠补片悬吊固定术在成人完全性直肠脱垂治疗中的应用

目的 探讨经腹直肠补片悬吊固定术治疗成人完全性直肠脱垂的疗效.方法 对11例接受经腹直肠补片悬吊固定术治疗的成人完全性直肠脱垂（Ⅱ～Ⅲ度）患者的临床资料进行回顾性分析.结果 本组11例患者手术顺利,手术时间1.8～2.6 h.术中出血50～300 ml.术后除1例患者出现尿潴留外,其余均未出现并发症.全组患者均一期愈合,平均住院时间14.5 d.术后经1～3年的随访,未出现直肠再次脱垂,肛门功能恢复良好,排粪通畅.结论 经腹直肠补片悬吊固定术治疗成人完全性直肠脱垂操作简便、并发症少、复发率低,是一种安全有效的方法.

Transabdominal rectopexy with mesh repair for full-thickness rectal prolapse in adults

Objective To investigate the efficacy of transabdominal reetopexy with mesh repair for adults with full-thickness rectal prolapse(Ⅱ-Ⅲ degree).Methods Between January 2005 and March 2009,11 adult patients with full-thickness rectal prolapse(Ⅱ-Ⅲ degree)were treated by transabdominal rectopexy with mesh repair.Clinical data were analyzed retrospectively.Results Of the 11 cases of rectal prolapse,7 cases were in Ⅱ degree,4 in Ⅲ degree.Operative time ranged from 1.8 to 2.6 hours.Estimated blood loss during operation ranged from 50 to 300 ml.There was only one patient developed urinary retention postoperatively and no other complieations were observed.After follow-up from 1 to 3 years,no recurrence was found.Patients had good anal function during the follow up.Conclusion Transabdominal recopexy with mesh repair is a simple procedure with low recurrence rate.