直肠脱垂的各种治疗方法

来源 :中华中医药学会肛肠分会第五届理事会换届会议暨全国肛肠学术交流大会 | 被引量 : 0次 | 上传用户:jswlgx
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本文以直肠脱垂的治疗方法为研究对象,总结了常见的几种治疗方法,如经会阴直肠黏膜切除肌层折叠术(Delorm),肛门环缩术(Thiersch),黏膜折叠和肛管缩窄术(Gant-Miwa)等,研究发现直肠脱垂常见于高龄女性,并且女性的复发率高于男性。由于患者多数是高龄者,所以术式选择上不能只考虑减少复发率,导致治疗难度增加。另外,骨盆脏器脱出的病例最近有所增加,不过骨盆脏器脱出通常可以一次性完全治愈,在麻醉科的协助下即使危险性高的患者也能治愈,复发率也很低。
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近几年我科采用STARR术治疗直肠黏膜内脱垂取得了满意的效果,STARR手术的核心步骤是直肠黏膜下z字荷包缝合,它直接影响到黏膜环切的完整性,切割肠壁的深浅,切割黏膜的多少,对术后疗效起决定性作用。缝合的深度既不能过浅又不能过深,在不缝到肌层的前提下尽可能“深”,较深位的缝线会带人更多的组织,增强直肠黏膜的悬吊作用。本文结果显示,应用STARR术治疗直肠内脱垂具有操作简便,病人创伤小,痛苦轻,恢复