改良PPH术与常规PPH术治疗排便障碍综合征的疗效观察  

Clinical effect of improved PPH and conventional PPH in the treatment of obstructed defecation syndrome

作　　者：沈锋[1] 何剑平[2] 谢文珠[1] 张锡滔[2] 江涛[1] 钟克丹[1] 鲁友军[1] 

机构地区：[1]广州市海珠区南石头街社区卫生服务中心(广州医学院第二附属医院西院区),广东广州510281 [2]南方医科大学珠江医院肛肠科,广东广州510282

出　　处：《海南医学》2013年第18期2671-2673,共3页Hainan Medical Journal

基　　金：广州市海珠区科技计划项目(编号:2012-yl-13)

摘　　要：目的比较改良PPH术与常规PPH术治疗排便障碍综合征(ODS)的疗效。方法选取我院收治的排便障碍综合征患者60例,分为改良PPH术组30例,常规PPH术组30例,观察两组患者术后治疗效果、并发症及ODS评分。结果两组患者均手术成功,改良PPH术组术后3个月排便通畅例数多于常规PPH术组,术后疼痛评分低于常规PPH术组(P<0.05);改良PPH术组1例尿潴留,2例肛门刺激症状,2例有暂时性急便感,吻合口出血、尿潴留、肛门刺激症状例数少于常规PPH术组(P<0.05);改良PPH术组术后ODS评分低于术后常规PPH组(P<0.05)。结论改良PPH术治疗排便障碍综合征疗效满意,具有创伤小、恢复快、安全、并发症少等优点。Objective To investigate efficacy of improved PPH and conventional PPH in the treatment of ob- structed defecation syndrome （ODS）. Methods Sixty patients with ODS in our hospital were selected and divided into two groups： improved PPH group （n=30） and the conventional PPH group （n=30）. The clinical effect, complications and ODS score were observed after treatment. Results All patients were successfully operated. The number of patients with smooth bowel movements 3 months after surgery in improved PPH group was significantly more than that in convention- al PPH group, and the postoperative pain scores were significantly lower （P〈0.05）. Improved PPH group had 1 case of urinary retention, 2 cases of anal irritation, and 2 cases of transient acute sense. The number of anastomotic bleeding, uri- nary retention, anal irritation were less than those in conventional PPH group （P〈0.05）. Postoperative ODS score of im- proved PPH group was lower than conventional PPH group （P〈0.05）. Conclusion The efficacy of improved PPH for treating ODS is satisfactory, with less trauma, quicker recovery, good security, and less complications.

关 键 词：改良PPH 排便障碍综合征 临床研究 

分 类 号：R656[医药卫生—外科学]