经肛门乙状结肠直肠切除悬吊术治疗儿童直肠脱垂

Resection rectopexy for rectal prolapse through anus in children

目的探讨单纯经肛门乙状结肠直肠切除悬吊术治疗儿童直肠脱垂的疗效。方法对6例Ⅱ-Ⅲ型直肠脱垂患儿采取单纯经肛门乙状结肠直肠切除悬吊术治疗t。结果6例患儿手术均获成功。手术时间1．5～3h，平均2．5h。术中元大出血、副损伤，术后无肠瘘、感染、大便失禁等并发症。术后住院6～8d，平均7d。6例获随访6～24个月，平均14个月，无腹泻、便秘及排便不畅，排便控制功能正常，无复发。结论对儿童Ⅱ-Ⅲ型直肠脱垂采取单纯经肛门乙状结肠直肠切除悬吊手术，可针对性地消除复发因素，创伤小，疗效确切。

Objective The effect of Resection rectopexy for rectal prolapse through anus in children. Methods 6 rectal prolapse patients were treated by resection rectopexy through anus. Results All 6 cases were success fully cured by resestion reetopexy through anus. The operations took about 1.5 to 3 hours, aver- age 2.5 hours. There were no intraopertive or postoperative complications. The patients were discharged from the hospital on sixth to eighth postoperative day. 6 cases were analyzed from 6 to 24 months, average 14 months, there were no diarrhea, constipation and poor bowel, the function of defecate control, were normal, and none of these cases was recurrence. Contusion Resection reetopexy for rectal prolapse through anus in children is minimally invasive and effective, and can remove recurrence fators.