两种术式治疗重度直肠前突56例疗效比较  

Clinical Observation on the Therapeutic Efficacy Comparison of Two Procedures in the Treatment of Severe Rectocele. Analysis of 56 Cases

作　　者：朱锡元[1] 蒋清平[1] 郭景泉[1] 程涛[1] 

机构地区：[1]浙江省丽水市人民医院/温州医学院附属第六医院,浙江丽水323000

出　　处：《中国肛肠病杂志》2011年第3期46-48,共3页Chinese Journal of Coloproctology

摘　　要：对经肛门和经阴道两种路径修补直肠前突进行疗效分析，将32例采用经肛行PPH加直肠前壁折叠缝合术和24例经阴道修补术的直肠前突患者的临床资料进行分析总结。结果显示，经肛组总有效率96．9％，经阴道组总有效率91．7％（P〉0．05）。经肛组手术、住院时间较经阴道组短（P〈0．01），但术后创口愈合时间明显延长、疼痛明显（P〈0．05）。结果表明，两种术式修补直肠前突均安全有效，经肛PPH加直肠前壁折叠缝合术在手术适应症、疗效等方面比经阴道修补更为优越，术前应全面了解有无同时存在的各种其他盆底薄弱引起出口梗阻的异常情况，选择恰当的手术方式。The objective of this study was to compare the therapeutic effect of two procedure. The clinical data of 32 patients with severe rectocele,who had undergone transanal PPH plus folding and suture of the anterior wall of the rectum（group A）,and 24 patients with severe rectocele, who had undergone transvagi- nal repair of the rectum（group B） ,were analyzed. As results,the general improvement rate in group A and B was 96.9% vs 91.7%（ P〉0.05）;the intraoperative time and hospitalization time was shorter in group A（ P〈0.01）,but the postoperative wound healing time was prolonged and pain was marked in group A （ P〈0.05）. It is concluded that these two procedures are all safe and effective,while the procedure used in group A is better in therapeutic efficacy and operation indication. It was overall understanded on abnormal condition of outlet obstructed with all kinds of the weak of pelvic floor muscle before operation;But,procedure should be adopted accordingly.

关 键 词：直肠前突 手术 临床观察 

分 类 号：R657.1[医药卫生—外科学]