PPH治疗直肠前突所致出口梗阻性便秘的近远期疗效评估  

Study on the Short-term and Long-term Effect of Prolapse and Hemorrhoids for Obstructed Defecation Syndrome Caused by Rectocele

作　　者：谭书锦[1] 别君[1] 

机构地区：[1]湖北省仙桃市第一人民医院外科,仙桃433000

出　　处：《中国医药导刊》2014年第2期193-194,196,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨痔上黏膜环切术(PPH)治疗直肠前突(RC)所致出口梗阻性便秘(ODS)的近远期疗效。方法:回顾性分析我院收治106例RC所致ODS患者并对其进行3年随访,分别采用PPH术(治疗组)和传统的经直肠切开前突修补术(对照组),每组各53例。比较两组患者的近期疗效、远期并发症及复发情况。结果:两组住院时间、创面愈合时间、疼痛指数及术后近期并发症等差异有统计学意义(P<0.05)。术后3年内,两组并发症发生率差异均无统计学意义(P>0.05),而术后2、3年,PPH组的复发率显著低于对照组(P<0.05)。结论:PPH术治疗C所致ODS的近期疗效优于前突修补术,术后恢复快,可降低近期并发症及远期复发率。Objective：To study the short-term and long-term effect of procedure for prolapse and hemorrhoids（PPH） in the treatment of obstructed defecation syndrome （ODS） caused by rectocele （RC）.Methods：106 ODS patients caused by RC in our hospital were treated by PPH （treatment group,n=53） and rectal wall repair （control group,n=53）,and all the cases were followed for 3 years.Short-term effect,long-term complication and recurrence were compared and analyzed.Results：There were significant difference in the hospital stay,wound healing time,pain index and short-term complication between treatment group and control group （P〈0.05）.There were no significant difference in the long-term complication during the 3 years after surgery （P〉0.05）,while the recurrence at 2nd, 3rd after surgery in treatment group were significantly lower than those in control group（P〈0.05）.Conclusion：The short-term effect of PPH is superior to rectal wall repair in the treatment of ODS caused by RC.It can contribute to facilitate their recovery,and reduce the short-term complication and long-term recurrence.

关 键 词：出口梗阻性便秘 直肠前突 痔上黏膜环切术 直肠前突修补术 

分 类 号：R657.1[医药卫生—外科学] R442.2[医药卫生—临床医学]