直肠脱垂的外科治疗进展

Advances in surgical treatment of rectal prolapse

直肠脱垂常见于多产女性和身体严重虚弱患者,严重影响生活,治疗方式以手术为主,但术式繁多术后复发率较高。通过阅读大量文献分类比较不同入路与术式的操作技巧、术后复发率、术后并发症以及并发症发病率,为临床医师选择合理手术方案提供参考。原有的指南中建议选择经腹入路,但有研究对这种选择提出质疑。建议用身体状态匹配入路,不应一味追求开腹治疗。

Rectal prolapse disease is common in prolific women and severely frail patients,which seriously affects the lives of patients.The main treatment method is surgery,but the recurrence rate is high after many surgical procedures.By reading a large number of documents and comparing the operation techniques,postoperative recurrence rates,postoperative complications and morbidity rates of different approaches and surgical methods,it provides a reference for clinicians to choose a reasonable surgical plan.The original guideline suggested a transabdominal approach,but the latest research questions this choice.It is recommended to use the body state to match the approach,and should not blindly pursue open abdominal treatment.