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我院曾对12例小儿完全性直肠滑动性脱垂患者施行了改良的替尔(Thiersch)氏手术,效果良好。本组12例中男9例,女3例,年龄1～6岁,发病时间最长40多天,最短者为10多小时,均无明显嵌顿环,仅一例肠粘膜上有数个小溃疡发生,无肠坏死病例。本组除2例外,均有慢性腹泻史,营养发育较差。除1例外,均曾多次行手法复位,每因腹压增高而又脱出。本组脱出肠段最长者28厘米,最短者3厘米,均属完全性直肠滑动性脱垂。施行了改良的替尔氏手术。经术后6个月～3年的随访,无复发或肛门狭窄发现。
In our hospital, 12 patients with complete rectal sliding prolapse in children underwent modified Thiersch’s operation, the effect is good. The group of 12 patients, 9 males and 3 females, aged 1 to 6 years old, the onset time of up to 40 days, the shortest of more than 10 hours, no significant incarcerated ring, only one case of intestinal mucosal small ulcers Occurred, no cases of intestinal necrosis. In addition to 2 cases in this group, have a history of chronic diarrhea, malnutrition is poor. In addition to one exception, have repeated line manipulation reset, each due to increased abdominal pressure and prolapse. This group off the longest intestinal segment 28 cm, the shortest 3 cm, are completely rectal sliding prolapse. Implemented a modified Behring’s surgery. After 6 months to 3 years of follow-up, no recurrence or anal stenosis was found.