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涤纶补片经腹直肠悬吊术在重度直肠脱垂中的应用
引用本文:杜斌斌,;杨熊飞,;张维胜,;王小英,;王涛,;冯丽莉,;李德芳,;史新亮.涤纶补片经腹直肠悬吊术在重度直肠脱垂中的应用[J].中国肛肠病杂志,2014(6):44-45.
作者姓名:杜斌斌  ;杨熊飞  ;张维胜  ;王小英  ;王涛  ;冯丽莉  ;李德芳  ;史新亮
作者单位:[1]甘肃省人民医院肛肠外科,甘肃兰州730000; [2]甘肃省陇南市中医院肛肠外科,甘肃陇南746000
摘    要:为探讨应用涤纶补片行经腹直肠悬吊术治疔重度直肠脱垂的疗效,回顾应用涤纶补片行经腹直肠悬吊术治疗的15例重度直肠脱垂患者资料。结果显示,本组15例患者均顺利完成手术。手术时间1.6~2.6h.术中出血量50~100ml。术后除2例患者出现尿潴留外.其余均未出现并发症。患者均一期愈合,平均住院时间9.5d。术后随访1~2年,均无复发,均肛门功能良好,排便通畅。结果表明,涤纶补片经腹直肠悬吊术治疗重度直肠脱垂疗效确切,术后并发症少,是一种安全有效的方法。

关 键 词:直肠脱垂  涤纶补片  经腹直肠悬吊术  疗效

Transabdominal Implanting Dacron Mesh and Rectal Suspension in the Treatment of Severe Rectal Prolapse
Institution:DUBin-bin ,YANG Xiong-fei ,ZHANG Wei-sheng ,WANG Xiao-ying ,WANG Tao ,FENG Li-li ,LI De-fang , SHI Xin-liang(1 Dept. of Colorectal Surgery, the People's Hospital of Gansu Province ,Lanzhou, Gansu 730000;2Dept. of Colorectal Surgery ,the TCM Hospital of Longnan Municipality ,Longnan ,Gansu 746000)
Abstract:In order to investigate the curative effect of transabdominal implanting dacron mesh and rectal suspension for severe rectal prolapse, authors retrospectively analyzed the data of the 15 patients who had been subjected to above procedure. As results,this procedure was all perfomed on all patients smoothly,the time for operation was 1.6-2.6 hr,intraoperative bleeding volume was 50 100ml;after operation no complication occured except for 2 eases being of uroschesis;all patients got primary healing, average hospitalization times was 9.5 days;the follow up of 1-2 years found no recurrence,and their anal function were bet ter,bowel movement became normal. Results show that transabdominal implanting dacron mesh and rectal suspension for severe rectal prolapse has certain curative effect, and its postoperative complication is less, thus is safe and effective.
Keywords:Rectal prolapse  Dacron mesh  Transabdominal rectal suspension  Therapeutic effect
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