PPH联合芍倍注射术治疗直肠前突的临床观察  

Clinical Observation of Procedure for Prolapse and Hemorrhoids Combined with Shaobei Injection in Treatment for Patients with Rectocele

作　　者：姜涛[1] 李春雨[1] 林树森[1] 袁鹏[1] 

机构地区：[1]中国医科大学附属第四医院肛肠科,辽宁沈阳110032

出　　处：《中国普外基础与临床杂志》2012年第8期846-849,共4页Chinese Journal of Bases and Clinics In General Surgery

基　　金：辽宁省科技计划项目(项目编号:2010225030)~~

摘　　要：目的评价吻合器痔上黏膜环形切除术(PPH)联合芍倍注射术治疗直肠前突引起的排便梗阻症状的安全性及有效性。方法将我院2009年12月至2011年1月期间的72例诊断为中度以上直肠前突的患者随机分为PPH联合芍倍注射术组(36例)与单纯PPH组(36例),分别行PPH联合芍倍注射术及单纯PPH治疗。分别于术后1周、1个月、3个月及6个月对2组患者进行Longo排便梗阻综合征(ODS)评分,并对患者术后疼痛情况进行评估,观察患者术后尿潴留、术后出血及肛门功能情况,记录患者住院时间及恢复工作时间,并对2组的以上情况进行比较。结果 PPH联合芍倍注射术组与单纯PPH组在术后1周及1个月ODS评分比较差异均无统计学意义(P>0.05),但PPH联合芍倍注射术组术后3个月及术后6个月ODS评分均明显低于单纯PPH组(P<0.05)。在术后疼痛评分、住院时间及恢复工作时间方面,2组比较差异均无统计学意义(P>0.05)。2组均未出现肛门功能异常情况。2组术后均有尿潴留和出血发生,但差异均无统计学意义(P>0.05)。结论 PPH术联合芍倍注射术较单纯PPH在治疗直肠前突方面疗效更好且至少和单纯PPH一样安全。Objective To evaluate the safety and efficacy of procedure for prolapse and hemorrhoids （PPH） combined with Shaobei injection in treatment for obstructed defecation syndrome （ODS） caused by rectocele. Methods Seventy-two female patients with rectocele from December 2009 to January 2011 in this hospital were divided into PPH combined with Shaobei injection group （36 cases） and only PPH group （36 cases）. The Longo ODS score was performed on week one, month one, month three, and month six after operation, respectively; pain was evaluated, complications such as urine retention, postoperative bleeding, and anal function were observed; hospital stay and recovery work time were recorded in two groups. Results All patients were followed up for 6 months, there were no significant differ- ences in complications, hospital stay, and the Longo ODS score on week one and month one after operation between two groups （P〉 0. 05）. But the Longo ODS score of the PPH combined with Shaobei injection group on month three and month six after operation were significantly lower than those of the only PPH group （P〈 0. 05）. Conclusion PPH combined with Shaobei injection has a better efficacy as compared with only PPH, and at least as safe as only PPH.

关 键 词：直肠前突 便秘 吻合器痔上黏膜环形切除术 芍倍注射液 

分 类 号：R657.18[医药卫生—外科学]