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直肠粘膜脱垂手术方法有哪些?术后有哪些并发症 秦伟 郑州市第一人民医院 直肠粘膜脱垂的手术方法有很多,通常最常用的是两种方式,一种就是直肠粘膜,出血缝扎术,就是我们通过我们的,就是用手工的方式,把多余的直肠粘膜,在麻醉的情况下,把多余的之前黏膜夹起,然后进行黏膜的结扎,这是直肠黏膜出血缝扎术,这是一种方法,另外还有一种方法,我们叫PPH术,这种方法就是相对来说,就是用一个器械,把这个放到,直肠黏膜里边套进去,然后再切除多余的粘膜同?,直接就吻合住了,这叫做PPH术,也是现在目前,常用的一种方法,还有一种方法呢,就是我们可以通过,叫做一种库克枪的一种方法,就是通过就是那个胶圈来进行,跟第一个缝扎那个有点相似,也是套扎法,还有一种方法,我们就通过就是现在最先进的,也有那种叫做TST这种方法,进行叫TST,也是一种是选择性的吻合器,这样的话不容易引起肛门狭窄,通常治疗粘膜脱垂了几种方法,大概就是这么这几种,当然了还有一种方法,就是那个消痔灵,粘膜下局部注射法,直肠粘膜脱垂术后,通常有哪些并发症,一般我们最常见的并发症,就是是直肠吻合口狭窄,或者说直肠肛门狭窄,这种情况,是相对来说比较常见的,当然了我们在做完手术以后,对有效病人进行扩肛,就是在换药的同时,就防止这种并发症的出现,还有一些病人,就是在短期内也感觉到,肛门有下坠的这些症状,这些?症状,通过以后时间长,肛门功能的训练,进行提肛运动,然后以后通过它,大便习惯的改变,这样的话慢慢都会得到,妥善的解决的,除了刚才说的,那些并发症之外,另外有些直肠粘膜脱垂,患者有可能会引起出血,这个直肠粘膜术后,有的时候在吻合钉脱落,会引起大出血,这样的话,我们就可以通过局部麻醉,然后再找到止血点,进行缝扎,也有一些患者,有可能会进行术后的感染,这样的话通过我们换药的同时,有感染迹象的,局部去进行清疮,这些并发症一般都比较少见,在术后患者正常排便,局部区熏洗换药治疗,这种并发症,一般都是比较少发生的。 What does rectum mucous membrane prolapse operation method have? What are the complications after operation There are many surgical methods for prolapse of rectal mucosa, The two most commonly used methods are, One is the rectal mucosa, Bleeding suturing, It's what we got through us, By hand, Put the extra rectal mucosa, Under anesthesia, Pick up the extra front mucosa, Then the mucosa was ligated, This is a suture operation for rectal mucosal bleeding, It's a way, There's another way, We call it PPH, This method is relatively speaking, With a device, Put this in, The lining of the rectal mucosa is covered, Then remove the redundant mucosa? It's a direct fit It's called PPH And now A common method There's another way That we can pass It's called a cook gun It's through the rubber ring It's similar to the first one It's also a set of Dharma There's another way We'll go through the most advanced There is also a method called TST Call tstt It's also a selective stapler In this way, it is not easy to cause anal stenosis There are several ways to treat prolapse of mucous membrane Maybe that's all Of course, there's another way It's the elixir of hemorrhoids Submucosal local injection Postoperative prolapse of rectal mucosa What are the common complications Our most common complications It's a narrow rectum Or narrow rectum and anus This situation Is relatively common Of course, after the surgery Anal dilatation for effective patients At the same time of changing medicine To prevent the occurrence of such complications There are also some patients Even in the short term The anus has these symptoms of falling These are Symptomatic Long time after passing Training of anal function Carry out the movement of raising the anus And then through it Changes in stool habits In this way, you'll get it Properly solved Except for what I just said Besides the complications In addition, some rectal mucosa prolapse The patient may cause bleeding After this rectal mucosa operation Sometimes the staples fall off Can cause massive bleeding In that case We can get drunk through local anesthesia And then find the bleeding spot Sew and tie There are also some patients There may be infection after operation In this case, when we change the medicine With signs of infection Local debridement These complications are usually rare Normal defecation after operation Local area fumigation and washing treatment This complication It usually happens less often