目的 評(píng)價(jià)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(shù)治療的42例直腸黏膜脫垂患者的臨床資料,其中直腸內(nèi)黏膜脫垂22例,直腸外黏膜脫垂20例,均經(jīng)排糞造影診斷. 結(jié)果 42例均行經(jīng)肛門直腸黏膜環(huán)切術(shù)(procedure for prolapse and haemorrhoids,PPH),術(shù)后隨訪2～40個(gè)月,2例術(shù)后半年少量便血,腸鏡檢查為吻合口絲線縫合處肉芽生長(zhǎng)所致.總有效率為88.1%(37/42),其中直腸內(nèi)黏膜脫垂有效率為81.8%(18/22),直腸外黏膜脫垂有效率達(dá)95.0%(19/20). 結(jié)論 PPH術(shù)治療直腸外黏膜脫垂優(yōu)于直腸內(nèi)黏膜脫垂,手術(shù)簡(jiǎn)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(shù)治療直腸黏膜脫垂. 中國(guó)普外基礎(chǔ)與臨床雜志, 2008, 15(1): 61-62. doi: 復(fù)制
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- 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. 張連陽,張勝本,黃顯凱,等.直腸內(nèi)脫垂382例的診斷和治療[J].世界華人消化雜志,1999; 7(7)∶620.
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- 6. 傅傳剛,張衛(wèi),王漢濤,等.吻合器環(huán)形痔切除術(shù)[J].中國(guó)實(shí)用外科雜志,2001; 21(11)∶653.
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