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目的 探讨出口梗阻性便秘常见病因之直肠内脱垂伴盆底疝的手术治疗效果。方法 搜集我院近年手术治疗的 11例直肠内脱垂伴盆底疝患者的临床资料 ,分析其病例特点、手术方式及疗效。结果 11例患者中 9例 (占 82 % )术后 1周症状立即缓解 ,2例经术后配合功能锻炼 3个月后症状亦缓解消失。结论 功能性直肠悬吊术附加盆底疝修补术 ,盆底抬高 ,子宫固定 ,乙状结肠 (部分 )切除术是治疗直肠内脱垂伴盆底疝的有效方法。
Objective To investigate the surgical treatment of the common causes of obstruction of the outlet obstruction with pelvic floor hernia. Methods The clinical data of 11 cases of patients with pelvic floor hernia who underwent surgical treatment in our hospital in recent years were collected and their characteristics, operation methods and therapeutic effects were analyzed. Results Nine of the 11 patients (82%) were relieved immediately after 1 week of operation, and the symptoms disappeared in 2 patients after 3 months of functional training. Conclusions The functional rectal suspension plus pelvic hernia repair, pelvic floor elevation, uterine fixation, sigmoid colon (partial) resection is an effective method for the treatment of rectal prolapse with pelvic floor hernia.