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目的探讨腹腔镜下治疗完全性直肠脱垂的合理术式及临床效果。方法13 例完全性直肠脱垂患者，行腹腔镜下手术，包括5例行“T”形补片腹膜后悬吊重建盆底；8例行直肠乙状结肠部分切除联合直肠悬吊固定重建盆底。5例伴有肛门括约肌松弛者同期行肛门环缩。结果13例均手术成功，平均手术时间（140±30）min；住院时间 7～13 d，平均（10.0±0.5）d。12例患者经12～36个月随访无复发，1例术后3个月轻度复发。复发者术后便秘仍较严重，其余排便正常。结论腹腔镜手术治疗成人直肠脱垂创伤小，治疗效果确切，但具体术式要具体分析。
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临床研究
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更新时间：2016-05-12
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腹腔镜治疗成人完全性直肠脱垂的术式选择与分析
Clinical observation of laparoscopic surgery in treatment of total rectal prolapse
微创医学 201602期 页码：211-212+219
作者机构：广东省江门市中心医院普通外科，江门市529000
基金信息：作者简介：王庆涛（1972～），男，硕士，副主任医师，研究方向：甲状腺、疝、胃肠及肿瘤微创外科。
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- 英文简介
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ObjectiveTo explore the clinical efficacy of laparoscopic surgery in treatment of total rectal prolapse. MethodsA total of 13 patients with total rectal prolapse were recruited, 5 cases of them were treated with a T-shape mesh to reconstruct the pelvic floor; the other 8 cases underwent partial resection of rectum and sigmoid colon combined with reconstruction of pelvic floor under the guide of laparoscope. 5 cases accompanied with laxitas of anal sphincter received Thiersch procedure concurrently. Results All the surgery of 13 cases were successfully performed with a average operation time of (140±30) min and a average hospital stay of (10.0±0.5) days (ranged from 7 to 13 days). None patient recurred after a follow-up time of 12 to 36 months,and one of them recurred after 3 months of operation. ConclusionLaparoscopic rectopexy is an effective and satisfactory in treatment of total rectal prolapse.
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