Treatment of Rectal Mucosal Prolapse Patients with Rectal Mucosal Sleeve Resection by Circular Stapler_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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张连阳 , 刘宝华 , 童卫东 , 张胜本

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Keywords：

圆形吻合器; 　直肠黏膜环切术; 　直肠黏膜脱垂

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目的评价采用圆形吻合器治疗直肠黏膜脱垂的安全性和可行性. 方法回顾性分析2002年10月至2006年1月我院手术治疗的42例直肠黏膜脱垂患者的临床资料,其中直肠内黏膜脱垂22例,直肠外黏膜脱垂20例,均经排粪造影诊断. 结果 42例均行经肛门直肠黏膜环切术(procedure for prolapse and haemorrhoids,PPH),术后随访2～40个月,2例术后半年少量便血,肠镜检查为吻合口丝线缝合处肉芽生长所致.总有效率为88.1%(37/42),其中直肠内黏膜脱垂有效率为81.8%(18/22),直肠外黏膜脱垂有效率达95.0%(19/20). 结论 PPH术治疗直肠外黏膜脱垂优于直肠内黏膜脱垂,手术简便.

Citation： 张连阳,刘宝华,童卫东,张胜本. Treatment of Rectal Mucosal Prolapse Patients with Rectal Mucosal Sleeve Resection by Circular Stapler. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(1): 61-62. doi: Copy

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.	张连阳,刘宝华,文亚渊,等.圆形吻合器直肠黏膜环切术治疗直肠黏膜脱垂的疗效[J].第三军医大学学报,2004; 26(12)∶1042.
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.	张连阳,张胜本,黄显凯,等.直肠内脱垂382例的诊断和治疗[J].世界华人消化杂志,1999; 7(7)∶620.
5.	李胜龙,尹廷宝,鲍铭,等.对"《PPH暂行规范》修订"的探讨[J].中国普外基础与临床杂志,2007; 14(3)∶362.
6.	傅传刚,张卫,王汉涛,等.吻合器环形痔切除术[J].中国实用外科杂志,2001; 21(11)∶653.
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.

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. 张连阳,刘宝华,文亚渊,等.圆形吻合器直肠黏膜环切术治疗直肠黏膜脱垂的疗效[J].第三军医大学学报,2004; 26(12)∶1042.
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. 张连阳,张胜本,黄显凯,等.直肠内脱垂382例的诊断和治疗[J].世界华人消化杂志,1999; 7(7)∶620.
5. 李胜龙,尹廷宝,鲍铭,等.对"《PPH暂行规范》修订"的探讨[J].中国普外基础与临床杂志,2007; 14(3)∶362.
6. 傅传刚,张卫,王汉涛,等.吻合器环形痔切除术[J].中国实用外科杂志,2001; 21(11)∶653.
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.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Treatment of Rectal Mucosal Prolapse Patients with Rectal Mucosal Sleeve Resection by Circular Stapler

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