中国肛肠病杂志2026，Vol.46Issue(4)：21-24,4.
直肠黏膜剥离肌层折叠缝合术联合肛门紧缩术治疗完全性直肠脱垂20例疗效观察
Clinical Efficacy of Delorme's Procedure Combined with Anal Sphincteroplasty in Treatment of 20 Cases of Complete Rectal Prolapse
摘要
Abstract
Objective To observe the efficacy of Delorme's procedure combined with anal sphincteroplasty in the treatment of complete rectal prolapse(spleen deficiency and qi sinking pattern).Methods A total of 20 patients with complete rectal prolapse treated in the Department of Coloproctology of our hospital from Janu-ary 2019 to December 2023 were enrolled.All patients were evaluated by Wexner Incontinence Score,quality of life(QOL)score and anal manometry before surgery and 3 months after surgery.A follow-up visit on the therapeutic effect was conducted on the patients 6 months after surgery.Results There were statistically sig-nificant differences in Wexner Incontinence Score,QOL score and anal manometry values before and after sur-gery(P<0.05).The prolapsed rectum spontaneously reduced in all 20 patients,and all were cured with no rectal mucosal prolapse observed during defecation.No recurrence was found in any patient during the 6-month follow-up.Conclusion Delorme's procedure combined with anal sphincteroplasty is relatively simple in operation,with few surgical complications and definite clinical efficacy in the treatment of complete rectal pro-lapse(spleen deficiency and qi sinking pattern),showing high practical value in the management of rectal prolapse.关键词
完全性直肠脱垂/直肠黏膜剥离肌层折叠缝合术/肛门紧缩术/疗效观察Key words
Complete rectal prolapse/Delorme's procedure/Anal sphincteroplasty/Clinical efficacy引用本文复制引用
梅先水,王建民..直肠黏膜剥离肌层折叠缝合术联合肛门紧缩术治疗完全性直肠脱垂20例疗效观察[J].中国肛肠病杂志,2026,46(4):21-24,4.基金项目
国家中医药管理局全国名老中医药专家传承工作室建设项目(czbkjf20170053) （czbkjf20170053）
安徽省"十四五"省级中医优势特色专科(zyyfw20210087) （zyyfw20210087）
安徽省青年领军人才项目(2020qnqhxz20220011) （2020qnqhxz20220011）
