STARR手术治疗排便障碍综合征的临床研究  

Stapled Transanal Rectal Resection for Treatment of Obstructive Defecation Syndrome

作　　者：汤献忠[1] 李兴谦[1] 韩晓光[1] 杨清[1] 王丹[1] 马庆峰[1] 

机构地区：[1]东莞市人民医院肛肠科,广东东莞523000

出　　处：《结直肠肛门外科》2011年第3期141-143,共3页Journal of Colorectal & Anal Surgery

基　　金：广东省东莞市科技局基金(编号:2010105150003)

摘　　要：目的探讨STARR手术治疗排便障碍综合征(ODS)的临床疗效及并发症。方法将60例ODS患者随机分为治疗组、对照1组和对照2组,每组20名患者。治疗组采用STARR手术,对照1组采用PPH术,对照2组采用经阴道直肠前突修补术(荷包法)。观察、比较3组患者手术时间、出血量、住院时间、并发症、治疗效果等指标。结果治疗组与对照1组术后ODS评分、有效率、手术时间差异有统计学意义;治疗组手术时间、出血量少于对照2组的相关指标,差异有统计学意义。结论 STARR手术治疗排便障碍综合征疗效肯定。Objective Stapled transanal rectal resection has been introduced as a new tecnnotogy Ior me management of obstructive defecation syndrome. In this study we observed the clinical outcomes for sta pled transanal rectal resection as comparect with transvaginal rectocele repair and PPH for obstructive defe cation syndrome. Methods 60 patients who had obstructive defecation syndrome were divided into 3 groups. Stapled transanal rectal resection was applied in therapy group, while PPH and transvaginal rectocele repair were separately applied in 1st control group and 2nd control group. The clinical outcomes ob- served, were operative time, estimated blood loss, length of stay, complication rate, procedure efficient rate. Results Evaluation of the clinical outcomes showed that transvaginal rectoeele repair had a longer op erative time,greater estimated blood loss than Stapled transanal rectal resection, while Stapled transanal rectal resection had a higher procedure efficient rate than PPH. Conclusion Stapled transanal rectal resection diminished symptoms of obstructed defecation syndrome, and improved the quality of life of patients.

关 键 词：STARR 排便障碍综合征 并发症 PPH 经阴道直肠前突修补. 

分 类 号：R657.1[医药卫生—外科学]