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脱肛 腹腔镜‘提裤子’疗法 Laparoscopic 'panty-lifting' therapy for anus removal 2008.10.10

  • 来源:cfl
  • 作者:cfl
  • 更新日期:2019-07-29 18:02
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安太医院发明了腹腔镜下直肠悬吊固定术(提裤子疗法),即用腹腔镜游离解剖直肠后,将直肠上提缝合在盆底肌肉上,效果非常稳定,且手术操作简便,无并发症多。 Antai Hospital invented laparoscopic rectum suspension fixation(`` lifting pants therapy), w

安太医院发明了腹腔镜下直肠悬吊固定术(“提裤子”疗法),即用腹腔镜游离解剖直肠后,将直肠上提缝合在盆底肌肉上,效果非常稳定,且手术操作简便,无并发症多。

Antai Hospital invented laparoscopic rectum suspension fixation(`` lifting pants "therapy), which uses laparoscopic free anatomy of the rectum to suture the rectum to the pelvic floor muscles. The effect is very stable, and the operation is simple. No complications.

脱肛或肛脱是直肠粘膜、肛管、直肠全层和部分乙状结肠向下移位并脱出肛门外的一种疾病。脱肛的特点:直肠粘膜及直肠反复脱出肛门外伴肛门松弛。

Defamation of the anus or anus is a disease in which the rectal mucosa, anal canal, rectal entire layer and part of the sigmoid colon shift downward and exit the anus. The characteristics of anus: rectum mucosa and rectum repeatedly out of the anus with anal relaxation.

病因 pathogeny

1、先天不足,发育不全,直肠缺乏周围软组织,及骶骨弯度的支持;1, congenital deficiency, incomplete development, lack of surrounding soft tissue in the rectum, and support for sacrum curvature;

2、病久体弱,营养不良或久泻久痢,使坐骨直肠窝的脂肪被吸收,直肠失去扶持;  2, sick and weak, malnutrition or chronic diarrhea, so that the fat of the ischium rectum is absorbed, rectum lost support;

3、年迈机体衰弱,妇女多次分娩,骨盆肌肉松弛,膀胱结石、慢性咳嗽等持续性增加腹压的疾病,使直肠黏膜下层组织松弛,黏膜与肌层分离,导致脱肛;

3, the aging body is weak, women give birth many times, pelvic muscles are loose, bladder stones, chronic cough and other diseases that continuously increase abdominal pressure, relax the underlying tissues of the rectal mucosa, and separate the mucosa from the muscle layer, leading to prolapse of the anus;

4、内痔三期,肛直肠息肉,肛直肠肿瘤等病症,经常脱出导致肛管括约肌松弛,并将直肠黏膜向下牵引。也有见于内痔环切术后,损及肛管皮肤,形成直肠黏膜外露脱垂。

4, internal hemorrhoids phase III, anal rectal polyps, anal rectal tumors and other conditions, often lead to anal sphincter relaxation, and rectum mucosa down. It is also seen after internal hemorrhoidectomy, which damages the skin of the anal canal and forms an exposed prolapse of the rectal mucosa.

如何诊断脱肛?

How to diagnose prolapse of anus?

根据脱出病史,视诊看脱出物即可诊断。脱肛可分为三度:  According to the history of exfoliation, the diagnosis can be made by visual examination. Defamation can be divided into three degrees:

I度脱垂:为直肠粘膜脱出,脱出物呈淡红色,长3-5cm,触之柔软,无弹性,不易出血,便后可自行回纳。

I-degree prolapse: For the rectal mucosa exfoliation, the exfoliation is pale red, 3-5cm long, soft touch, inelastic, not easy to bleed, then can return to itself.

II度脱垂:为直肠全层脱出,脱出物长5-10cm,呈圆锥状,淡红色,表面为环形而有层次的粘膜皱襞,触之较厚,有弹性,肛门松弛,便后有时需用手回复。

II degree prolapse: It is a full layer of rectum, 5-10 cm long, conical, pale red, with a circular and layered mucosal fold on the surface, thick, elastic, and loose anus. After that, sometimes you need to return by hand.

III度脱垂:直肠及部分乙状结肠脱出,长达10cm以上,呈圆柱形,触之很厚,肛门松弛无力。

III degree prolapse: The rectum and part of the sigmoid colon excrete, up to 10cm in length, cylindrical, thick touch, and weak anus.

5、脱肛的鉴别诊断  5, the differential diagnosis of anus

I度直肠脱垂应与内痔脱出相鉴别,内痔脱出时痔核呈分颗状,无环状粘膜皱襞,黯红色或青紫色,容易出血。此外,还有一些疾病应与脱肛相鉴别,如直肠息肉、肛管直肠癌、肛乳头瘤、肛管疣、赘皮性外痔等。

I-degree rectum prolapse should be identified with internal hemorrhoid exfoliation. When internal hemorrhoid exhalation occurs, the haemorrhoid nucleus is split, there is no circular mucosal fold, and it is dark red or purple, and it is prone to bleeding. In addition, there are also some diseases that should be identified with decanalization, such as rectal polyps, anal rectal cancer, anal papilloma, anal warts, and sarcoid external hemorrhoids.

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