改良闭式修补术联合益气增液中药治疗重度直肠前突的疗效观察  

The effect of improved closed repair operation combined with YiQiZengYe traditional Chinese medicine for treating patients with severe rectocele

作　　者：厉志超 

机构地区：[1]唐山市第八医院内一科,河北省唐山063020

出　　处：《中国基层医药》2013年第4期551-553,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察改良闭式修补术联合益气增液中药治疗重度直肠前突的疗效。方法60例重度直肠前突患者随机分为治疗组和对照组。治疗组患者给予改良直肠前突闭式修补术，术后辅以益气增液中药治疗，对照组仅给予常规经阴道切开修补术。术后3个月评价临床疗效。比较两组临床症状评分、静息位和用力排便时直肠前突深度及术后并发症发生情况，术后随访6个月比较两组术后复发情况。结果治疗组总有效率为100．0％，显著高于对照组的70．0％（X^2=10．588，P〈0．05）；治疗组术后出血、疼痛、肛门坠胀、感染等并发症发生率分别为0例、3例（10．0％）、7例（23．3％）、1例（3．3％），均显著低于对照组的4例（13．3％）、23例（76．7％）、28例（93．3％）、9例（3．3％）（X^2=4．286、38．400、30．240、7．680，均P〈0．05），且术后无复发。结论改良闭式修补术辅以益气增液中药治疗重度直肠前突能显著提高临床疗效，可以有效改善患者预后和预防复发，且安全可靠。Objective To observe the clinical efficacy of improved closed repair operation combined with YiQiZengYe traditional Chinese medicine（TCM） for treating the patients with severe rectocele. Methods 60 patients with severe rectocele were randomly divided into treatment group and control group. The patients in treatment group received the treatment of improved closed repair operation combined with YiQiZengYe TCM, and the patients in con- trol group received the treatment of conventional transvaginal incision repair. The clinical efficacy was evaluated 3 months after surgery. The clinical symptom score, rectocele depth of resting bit and force row, postoperative complica- tions of two groups were comparatively analyzed. Following-up of 6 months after surgery, the postoperative recurrence was observed. Results The effective rate of the treatment group was 100.0% , and was significantly higher than that of the control group（70.0% ） （ X2 = 10.588, P 〈 0.05 ） ; The complication rates of postoperative bleeding, pain, anal bulge and infection in the treatment group were 0 cases,3 eases（ 10.0% ） ,7 cases （23.3%）, 1 cases （3.3%）, respectively,wich were significantly lower than those of the control group [4 cases（ 13.3% ） ,23 cases（76.7% ） ,28 cases （93.3 % ） ,9 cases （3.3 % ） ] （ X2 = 4. 286,38. 400,30. 240,7. 680, all P 〈 0.05 ）. There was no postoperative recurrence in the treatment group. Conclusion The improved closed repair operation combined with YiQiZengYe TCM for treating the patients with severe rectocele can significantly improve the clinical efficacy, effectively improve prognosis and prevent recurrence. This treatment method is safe and reliable.

关 键 词：重度 直肠前突 改良 闭式修补术 中医疗法 疗效 

分 类 号：R657[医药卫生—外科学]