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目的 :探讨直肠前突病例的手术术式和治疗结果。方法 :4 8例中 ,重度直肠前突采用经肛门直肠前壁切开将肌肉串联黏膜重叠缝合修补术 ,同时常规将内括约肌挑出切断术 ,包括耻骨直肠肌部分切除术和肠疝经腹切除冗长肠段 ,作对端缝合 ,疗效观察。结果 :全部病例经 6个月至 2年的随诊、复查 ,排便通畅 ,临床症状消失 ,效果优者 35例 ,良好 11例 ,术后症状轻度改善 2例 ,症状改善总有效率 95 .8%。结论 :选择性直肠前突施行经肛门直肠前壁黏膜切开、肌肉串联、黏膜重叠缝合术效果满意。黏膜的分离、串联重叠缝合程度是手术成功的关键
Objective: To investigate the surgical procedures and treatment results of rectocele cases. Methods: Forty-eight cases of moderate and severe rectocele were treated by overlapping anastomosis of muscularis mucosa by resection of the anterior and anterior wall of the anus. Meanwhile, the internal sphincter was routinely excised, including partial resection of the puborectalis muscle and abdominal hernia Lengthy removal of bowel for suture ends, the efficacy observed. Results: All the patients were followed up for 6 months to 2 years. The defecation was smooth and the clinical symptoms disappeared. The results were excellent in 35 cases and good in 11 cases. The postoperative symptoms were mildly improved in 2 cases and the total effective rate in symptom improvement was 95. 8%. CONCLUSIONS: Selective rectal prolapse is performed satisfactorily with transmucosal dissection of the anterior and rectal anterior commissures, muscular series, and overlapping sutures of the mucosa. Mucosal separation, the degree of overlapping suture in series is the key to successful operation