诊断

有时很难区分直肠脱垂和痔疮。为了诊断直肠脱垂和排除其他相关健康问题,医务人员可能建议:

  • 直肠指检。医务人员会将带有手套且涂抹润滑油的手指伸到您的直肠中,以检查括约肌的力量并检查直肠区域是否出现任何问题。在检查期间,医务人员可能要求您作排便状努力,以检查是否有直肠脱垂。
  • 肛门测压。将一根细长软管插到肛门和直肠中。可能给细管尖端的小球囊充气。该测试有助于测量肛门括约肌的松紧度和直肠的工作方式。
  • 结肠镜检查。为了排除痔疮、息肉或结肠癌等其他疾病,您可能要进行结肠镜检查。该检查把一根软管插入直肠,查看整个结肠。
  • 排粪造影。该检查结合使用造影剂与成像研究,如 X 线或磁共振成像(MRI)。排粪造影有助于揭示下消化道及其周围的结构变化,并显示直肠肌肉的功能是否正常。

治疗

直肠脱垂的治疗通常需要手术。通常需要使用大便软化剂、栓剂和其他药物来治疗便秘。有不同的手术方法可用于治疗直肠脱垂。在了解您的年龄、健康问题和肠道状况过后,您的医务人员将为您选择最佳治疗方案。

July 29, 2023
  1. Cohee MW, et al. Benign anorectal conditions: Evaluation and management. American Family Physician. 2020;101:24.
  2. Rectal prolapse. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/anatomic-problems-lower-gi-tract/rectal-prolapse. Accessed Jan. 27, 2023.
  3. Rectal prolapse. American Society of Colon & Rectal Surgeons. https://fascrs.org/patients/diseases-and-conditions/a-z/rectal-prolapse-expanded-version. Accessed Jan. 27, 2023.
  4. Tsunoda A. Surgical treatment of rectal prolapse in the laparoscopic era; A review of the literature. Journal of the Anus, Rectum and Colon. 2020; doi:10.23922/jarc.2019-035.
  5. Varma MG, et al. Surgical approach to rectal procidentia (rectal prolapse). https://www.uptodate.com/contents/search. Accessed Jan. 27, 2023.
  6. Varma MG, et al. Overview of rectal procidentia (rectal prolapse). https://www.uptodate.com/contents/search. Accessed Jan. 27, 2023.
  7. Ami TR. Allscripts EPSi. Mayo Clinic. March 24, 2023.
  8. Keller DS, et al. Is rectal prolapse a hernia? Colorectal Disease. 2022; doi: 10.1111/codi.16132.
  9. Rodriguez L. Rectal prolapse in children. https://www.uptodate.com/contents/search. Accessed Jan. 27, 2023.
  10. Gachabayov M, et al. Rectal prolapse and pelvic descent. Current Problems in Surgery. 2021. doi:10.1016/j.cpsurg.2020.100952.

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