经肛吻合器直肠切除术在治疗直肠前突中的应用  

Application of stapled transanal rectal resection in treatment rectocele

作　　者：李晓斌[1] 张双民[1] 

机构地区：[1]中国医学科学院 北京协和医学院 北京协和医院基本外科,北京100730

出　　处：《中国综合临床》2011年第6期615-617,共3页Clinical Medicine of China

摘　　要：目的评价经肛吻合器直肠切除（STARR）术在治疗直肠前突的临床疗效及安全性。方法采用PPH吻合器作半环型直肠下端黏膜切除治疗92例直肠前突患者，观察手术时间、手术效果、并发症及复发率。结果手术全部成功完成，平均手术时间（25±8）min，总有效率达100％，术后出现下腹不适及胀痛32例（34．7％），尿潴留9例（9．8％），肛门部疼痛5例（5．4％），出血3例（3．3％），术后住院时间1．0～5．0d，平均（2．2±0．9）d；随访4—40个月未见复发病例。结论STARR术治疗直肠前突，具有手术安全，恢复快，近期疗效满意和复发率低等优点。Objective To evaluate the clinical curative effect and safety of the stapled transanal rectal resection （STARR） in treatment rectoeele. Methods Ninety-two cases suffering from rectocele were treated with rectal inferior extremity half circum mucosectomy by PPH stapler. The operative time, operation effect, complication and recurrence rate were studied. Results All cases were operated successfully. The mean operation time was （25±8 ）min ,The totol effective rate was 100% , postoperative complication included inferior abdomen discomfort and pain （32 cases ,34. 7% ）, urinary retention（ 9 cases ,9. 8% ）, anal anus pain （5 cases, 5.4% ） and bleeding （3 cases, 3.3 % ）. The average length of postoperative stay was 1 -5 days （average [ 2. 2±0.9 ] days）. The follow-up period ranged from 4 to 40 months and no recurrence was observed. Conclusion The stapled transanal rectal resection （STARR） has several advantages, such as safety, rapid recovery, good recent therapeutic effect and lower recurrence in treating rectocele.

关 键 词：经肛吻合器直肠切除术 直肠前突 

分 类 号：R657.1[医药卫生—外科学]