Delorme手术治疗直肠脱垂的临床疗效分析

Clinical analysis of Delorme operation in treating rectal prolapse

目的探讨Delorme手术治疗完全性直肠脱垂的临床疗效。方法回顾性分析2010年4月至2012年4月实施Delorme手术治疗直肠脱垂14例患者（女性8例、男性6例）。使用SPSS 13.0软件分析,采用χ^2检验,对比Delorme术对14例患者术前术后便秘和失禁两方面变化,P〈0.05为差异有统计学意义。结果 14例患者手术成功,平均手术时间50 min（40-80 min）。随访平均20个月（6-26个月）,随访率100%。1例患者（7.1%）术后5个月复发。3例术前便秘患者1例好转,失禁患者未见改变,经过术前术后便秘和失禁两方面对比研究发现,Delorme手术对患者便秘和失禁没有明显改善,（χ^2=0.235、0.551,P〉0.05）。结论 Delorme手术治疗直肠脱垂手术安全,并发症少,因为病例数较少是否能够改善便秘和失禁尚不确切。

Objective To investigate the clinical efficacy of Delorme operation in treating complete prolapse of the rectum. Methods Clinical data of 14 patients（ 8 women and 6 men） with complete prolapse of the rectum,who underwent Delorme operation during April 2010 to April 2012,were collected and analyzed using SPSS 13. 0 software under the Chi-square test. Clincal outcomes of preoperative and postoperative constipation / incontinence were compared after Delorme operation in 14 patients. A P value less than 0. 05 was considered statistically significant. Results Operations were successfully performed in the14 patients with an average operation time of 50 minutes（ 40- 80 minutes）,and they were followed up on average for 20 months（ 6- 26 months）. One patient（ 7. 1%） showed recurrence 5 months after operation.In 3 patients with constipation before surgery,one recovered better defecation; however incontinence was not changed in these patients. We suggested that constipation and incontinence in patients with rectal prolapse might not be improved after Delorme operation（ χ^2= 0. 235,0. 551,P〉 0. 05）. Conclusions Delorme operation for rectal prolapse is safe with less complications. Further study should be performed to investigate the improvement of constipation and incontinence after Delorme operation.