CAJ | 학술논문

目的探讨经腹直肠补片悬吊固定术治疗成人完全性直肠脱垂的疗效.方法对11例接受经腹直肠补片悬吊固定术治疗的成人完全性直肠脱垂(Ⅱ～Ⅲ度)患者的临床资料进行回顾性分析.结果本组11例患者手术顺利,手术时间1.8～2.6 h.术中出血50～300 ml.术后除1例患者出现尿潴留外,其余均未出现并发症.全组患者均一期愈合,平均住院时间14.5 d.术后经1～3年的随访,未出现直肠再次脱垂,肛门功能恢复良好,排粪通畅.结论经腹直肠补片悬吊固定术治疗成人完全性直肠脱垂操作简便、并发症少、复发率低,是一种安全有效的方法.
목적 탐토경복직장보편현조고정술치료성인완전성직장탈수적료효.방법 대11례접수경복직장보편현조고정술치료적성인완전성직장탈수(Ⅱ～Ⅲ도)환자적림상자료진행회고성분석.결과 본조11례환자수술순리,수술시간1.8～2.6 h.술중출혈50～300 ml.술후제1례환자출현뇨저류외,기여균미출현병발증.전조환자균일기유합,평균주원시간14.5 d.술후경1～3년적수방,미출현직장재차탈수,항문공능회복량호,배분통창.결론 경복직장보편현조고정술치료성인완전성직장탈수조작간편、병발증소、복발솔저,시일충안전유효적방법.
Objective To investigate the efficacy of transabdominal reetopexy with mesh repair for adults with full-thickness rectal prolapse(Ⅱ-Ⅲ degree).Methods Between January 2005 and March 2009,11 adult patients with full-thickness rectal prolapse(Ⅱ-Ⅲ degree)were treated by transabdominal rectopexy with mesh repair.Clinical data were analyzed retrospectively.Results Of the 11 cases of rectal prolapse,7 cases were in Ⅱ degree,4 in Ⅲ degree.Operative time ranged from 1.8 to 2.6 hours.Estimated blood loss during operation ranged from 50 to 300 ml.There was only one patient developed urinary retention postoperatively and no other complieations were observed.After follow-up from 1 to 3 years,no recurrence was found.Patients had good anal function during the follow up.Conclusion Transabdominal recopexy with mesh repair is a simple procedure with low recurrence rate.