提肛运动对于直肠癌保肛术后肛门功能恢复的疗效观察  

Observation on Effect of Levator Ani Movement on Anal Function after Dixon Surgery

作　　者：潘燕[1] 俞一峰[1] 龚海[1] 李森[1] 

机构地区：[1]江阴市人民医院肛肠外科,江苏江阴214400

出　　处：《医学综述》2012年第17期2927-2928,共2页Medical Recapitulate

摘　　要：目的探讨提肛运动对于直肠癌患者Dixon术后肛门功能的作用。方法提肛组在术后2周即每日进行提肛运动的功能锻炼,对照组不采取任何干预措施,测定两组术后3个月后直肠肛门压力。结果提肛组患者排便次数及控便能力明显优于对照组(P<0.05),但对于粪便质地及其里急后重感,两组比较无统计学意义(P>0.05);提肛组肛管最大收缩压较对照组明显提高(P<0.05),而肛管静息压及肛管括约肌功能长度两组比较差异均无统计学意义(P>0.05)。结论提肛运动可明显提高直肠癌保肛术后肛门的控便能力。Objective To discuss the effect of levator ani movement on anal function after Dixon surgery. Methods Training group did functional exercise of levator ani muscle two weeks after operation, while no training was done in control group. Anorectal manometry was done in the two groups 3 months after operation. Results Training group had an advantage to control group in defecation frequency and continence function（ P 〈 0.05 ）, while there was no significant difference in faeces texture and rectal tenesmus feeling （ P 〉 O. 05 ）. The maximal squeeze pressure of training group was higher than control group （ P 〈 0.05 ）, no significant difference in the anal sphincter resting pressure and anal sphincter length（ P 〉 0.05 ）. Conclusion Levator ani muscle trainin~ can improve the continence function after Dixon obviously.

关 键 词：提肛运动 直肠癌保肛术后 肛门直肠压力测定 肛门功能 

分 类 号：R574.63[医药卫生—消化系统]