[1]李英超,李索林※,任怀珍①,等.腹腔镜辅助下盆底腹膜带直肠悬吊术治疗儿童完全性直肠脱垂[J].中国微创外科杂志,2009,09(7):582-584.
　Li Yingchao*,Li Suolin*,Ren Huaizhen,et al.Laparoscopic Rectopexy with Peritoneal Strips for Complete Rectal Prolapse in Children[J].Chinese Journal of Minimally Invasive Surgery,2009,09(7):582-584.
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腹腔镜辅助下盆底腹膜带直肠悬吊术治疗儿童完全性直肠脱垂()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年7期
页码:
582-584
栏目:
出版日期:
2009-08-25

文章信息/Info

Title:
Laparoscopic Rectopexy with Peritoneal Strips for Complete Rectal Prolapse in Children
作者:
李英超; 李索林※; 任怀珍①; 左长增①; 徐伟立; 耿娜
河北医科大学第二医院小儿外科，石家庄050000
Author(s):
Li Yingchao*;  Li Suolin*;  Ren Huaizhen;  et al.
*Department of Pediatric Surgery, Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
关键词:
腹腔镜; 儿童; 直肠脱垂; 腹膜带; 直肠悬吊术
Keywords:
Laparoscopy; Children; Rectal prolapse; Peritoneal strip; Rectopexy
分类号:
R726.1
文献标志码:
A
摘要:
目的探讨腹腔镜腹膜带直肠悬吊术治疗儿童完全性直肠脱垂的可行性及临床效果。 方法2004年8月～2008年10月，对6例完全性直肠脱垂（年龄2~6岁，平均3.5岁），在腹腔镜下利用直肠周围盆腔增厚松弛的腹膜，切取成两条“L”形带蒂腹膜条，折叠缝合固定于游离的直肠两侧壁，然后缝合在骶骨岬前的筋膜上悬吊直肠，最后将盆腔腹膜切缘缝合于直肠前壁包埋腹膜带并紧缩盆底。 结果6例手术均获成功。手术时间95~210 min，（120±24）min。术中出血<10 ml。术后随访6~54个月，平均28个月，均无脱垂复发，排便功能正常。结论腹腔镜下腹膜带直肠悬吊术治疗儿童完全性直肠脱垂效果良好，具有创伤小、恢复快、复发率低等优点，是一种具有较高临床应用价值的新术式。
Abstract:
ObjectiveTo explore the feasibility and efficacy of laparoscopic rectopexy with peritoneal strips for severe complete rectal prolapse (SCRP) in children. MethodsFrom August 2004 to October 2008, 6 patients (aged 2 to 6 years with a mean of 3.5) with SCRP were treated in our hospital. The clinical data of the patients were reviewed. Under the laparoscope, two Lshaped peritoneal strips with the pedicle were cut from the incrassated and slack peritoneum of the pelvic cavity on bilateral sites of the rectum, and then were folded and sutured with the lateral wall of the free rectum with the ends being stitched on the fascia in front of the sacral promontory to suspend the rectum. Afterwards, the incisal margin of the peritoneum was sutured together with the anterior wall of the rectum in order to embed the peritoneal strips and reconstruct the pelvic peritoneum.ResultsAll of the 6 cases of laparoscopy were completed successfully with a mean operation time of (120±24) min (ranged from 95 to 210 min). The blood loss was less than 10 ml in all of the cases. The patients received a mean of 28month followup (range, 6 to 54 months), during the period, none of them had recurrence or abnormal bowel movement. ConclusionsLaparoscopic rectopexy with peritoneal strips is an effective and satisfactory treatment for SCRP with minimal invasion, quick recovery and a lowrecurrence rate.

参考文献/References:


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备注/Memo

备注/Memo:
※通讯作者 ①（河北省邢台市人民医院外科，邢台054001）
更新日期/Last Update: 2013-09-17