fa بررسی جراحی پرولاپس رکتوم طی سالهای 1373- 1368 در مرکز کودکان مفید جراحی اطفال Pediatric Surgery پژوهشي Research <p>  در این مطالعه پرونده های 50 بیمار مبتلا به پرولاپس رکتوم که طی سال های 1368تا 1373 به مرکز کودکان مفید </p><p>  مراجعه کرده اند.بصورت توصیفی مورد بررسی قرارگرفته است.از این تعداد 30 نفرمذکرو 20 نفر مونث بوده اند </p><p>  (نسبت به دختر2/3)متوسط سن مراجعه 3سالگی بوده وشایعترین نوع پرولاپس در این بیماران فرم کامل آن بوده است </p><p>  (70 درصد).علائم بالینی بیماران در موقع مراجعه به ترتیب زیر بوده است:خروج توده از مقعد(96 در صد)،خونریزی </p><p>  رکتوم (46درصد)و یبوست و اسهال(16در صد). </p><p>  از 50 بیمار بستری شده که به درمان طبی سر پایی پاسخ نداده اند،48 بیمار تحت عمل جراحی قرار گرفته اند که </p><p>  بوده است. 2 مورد با Lockhart-Mummery و در 9 مورد به روش Ekhorn در 39 بیمار جراحی به روش </p><p>  دستورات طبی و غیر جراحی در ضمن بستری بهبود یافته و مرخص شده اند(فرم ناکامل). </p><p>  عمل شده بودند که Ekhorn در بین عمل شده ها دو مورد عود وجود داشته است (4 درصد) دو مورد فوق با روش </p><p>  مجددا تحت عمل جراحی با روشهای مذکور قرار گرفته وپس از بهبود کامل مرخص شده اند. </p><p>  تست عرق در 30 بیمار انجام شده، که بجز در یک مورد بقیه منفی بوده است. </p><p>  </p><p>  </p><p>  </p> <div style="mso-element: frame mso-element-frame-width: 345.8pt mso-element-frame-height: 276.2pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt"><tbody><tr><td style="BORDER-BOTTOM: #f0f0f0 BORDER-LEFT: #f0f0f0 PADDING-BOTTOM: 0in BACKGROUND-COLOR: transparent PADDING-LEFT: 0in PADDING-RIGHT: 0in BORDER-TOP: #f0f0f0 BORDER-RIGHT: #f0f0f0 PADDING-TOP: 0in" height="368" valign="top" align="left"><p style="LINE-HEIGHT: 20.4pt TEXT-INDENT: 14.6pt MARGIN: 0in 0in 0pt 2.4pt mso-element: frame mso-element-frame-width: 345.8pt mso-element-frame-height: 276.2pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">From Oct. 1990 to Oct. </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt mso-font-width: 109%">1995 50 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">cases of rectal prolapse were evaluated retrospectively in Mofid Hospital. <p></p></span></i></p><p style="LINE-HEIGHT: 19.65pt MARGIN: 0in 0in 0pt 17.25pt mso-element: frame mso-element-frame-width: 345.8pt mso-element-frame-height: 276.2pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">The patients consisted of </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt mso-font-width: 110%">30 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">male and 20 female, with </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 11pt mso-font-width: 105%">a </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">M:F ratio Ofl-, <p></p></span></i></p><p style="LINE-HEIGHT: 7.9pt MARGIN: 0in 0in 0pt 334.3pt mso-element: frame mso-element-frame-width: 345.8pt mso-element-frame-height: 276.2pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt mso-font-width: 113%">2 <p></p></span></p><p style="LINE-HEIGHT: 12.45pt MARGIN: 0in 0in 0pt 1.9pt mso-element: frame mso-element-frame-width: 345.8pt mso-element-frame-height: 276.2pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">meen admission age was </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt mso-font-width: 138%">3 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">years and majority had complete form of rectal <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 20.15pt MARGIN: 0in 0.7pt 0pt 0.95pt mso-element: frame mso-element-frame-width: 345.8pt mso-element-frame-height: 276.2pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">prolapse. The most common symptoms were as follows, protrution of mass in </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt mso-font-width: 109%">96%, </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">rectal bleeding in </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt mso-font-width: 109%">46%, </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">and diarrhea and constipation in </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt mso-font-width: 109%">16% </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">of cases. </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt mso-font-width: 110%">48 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">patients were treated surgically (Ekhorn method in </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt mso-font-width: 110%">39 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">cases and Lockhart </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">- <i>Mumery procedure in </i></span><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt mso-font-width: 109%">9 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">cases), </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt mso-font-width: 109%">2 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">cases were treated medically and discharged symptom free. <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 19.9pt TEXT-INDENT: 14.6pt MARGIN: 0in 2.15pt 0pt 0.45pt mso-element: frame mso-element-frame-width: 345.8pt mso-element-frame-height: 276.2pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">In </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt mso-font-width: 113%">2 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">patients who were treated by Ekhorn method, symptoms recurred (4%) both were corrected surgically again </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10.5pt mso-font-width: 105%">(1 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">by Ekhron and one by LM.Method) and discharged symptom free. Sweat test were performed in 30 patients (60%). All but one had normal results. <p></p></span></i></p></td></tr></tbody></table></div> 1- درمان طبی پرولاپس رکتوم کودکان 2- درمان جراحی پرولاپس رکتوم کودکان 3- روش جراحی Ekhorn -روش جراحی Lockhart Mummery 1) Childhood rectal prolapse 2) Surgical treatment 3) Ekhorn method 4) Lockhart - Mummery Procedure 57 61 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1170&slc_lang=fa&sid=1 A. Mirshemirani علیرضا میرشمیرانی 3900319475328460021133 3900319475328460021133 Yes M.H Amid محمدحسین عمید 3900319475328460021134 3900319475328460021134 No