吻合器痔上黏膜环形切除术治疗成人直肠黏膜脱垂的疗效初探

Efficacy of circular stapling procedure for rectal mucosal prolapse in adults

目的为治疗成人直肠黏膜脱垂探寻有效的治疗方法。方法采用吻合器痔上黏膜环形切除术(PPH),对8例直肠黏膜脱垂患者环形切除3～5cm直肠黏膜。治疗后第2、4、12、24周随访。结果患者术后3d内出院,手术时间、住院日明显缩短。临床症状基本消失。排便规律,大便粗细正常,肛门自主收缩有力、持久,做排便动作时无黏膜脱出。无明显手术并发症。结论经肛门PPH治疗成人直肠黏膜脱垂,手术操作方法简便、易掌握,使用安全,如操作得当,不会出现严重的并发症,应成为经肛门治疗直肠黏膜脱垂的首选方法。

Objective To explore an effective treatment for adult rectal mucosal prolapse. Methods Eight patients with rectal mucosal prolapse underwent procedure for prolapse and hemorrhoids(PPH) using circular stapler. The patients were followed up at 2,4,12 and 24 weeks after operation. Results The patients were discharged within 3 days after operation.The operative duration and the hospital stay were shortened. The preoperative clinical symptoms were improved. Defecation became regular with normal circumference of stool, vigorous and sustained anal autonomic contract, and no mucosal prolapse during defecation. No postoperative complication occurred. Conclusion PPH is safe, easy to perform and effective in the treatment of adult rectal mucosal prolapse.