经肛门与经阴道直肠前突修补术回顾性分析50例  被引量:4

Transanal vs transvaginal repair of symptomatic rectocele: Analysis of 50 cases

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作  者:魏巍[1] 李荣先[1] 彭昕[1] 吕九娣[1] 

机构地区:[1]新乡市中心医院肛肠科,河南省新乡市453000

出  处:《世界华人消化杂志》2015年第9期1521-1525,共5页World Chinese Journal of Digestology

摘  要:目的:通过比较经肛门与经阴道直肠前突修补术的临床疗效,根据术后直肠前突深度的变化,确定其长期临床效果.方法:将50例直肠前突女性患者随机分为A、B两组,A组25例采用经肛门修补术,B组25例采用经阴道修补术.对两组患者术后相关指标进行观察,并进行统计学分析.结果:术后12 mo,两组中各有17例患者(A组/B组:77%/74%)症状改善.中位随访50 m o,两组中各有11例和13例患者(A组/B组:55%/59%)症状改善.患者术后直肠前突深度变化越大(≥4 cm),长期疗效越好(P=0.001).结论:在这两种手术方式中,随着随访时间延长,临床疗效逐渐下降.而术前直肠前突越重的患者,术后长期疗效越好.AIM:To compare the results of transanal vs transvaginal repair of symptomatic rectocele and to determine the long-term clinical outcomes according to the change in the depth of the rectocele after the procedure.METHODS:This study included 50 women suffering from rectocele.They were randomized into two groups:25 women(group A) receiving a transanal repair and 25(group B) receiving a transvaginal repair.The relevant postoperative indexes were compared for the two groups.RESULTS:At 12 mo after surgery,17 women in each group(group A/B,77%/74%) reported improvement of their symptoms.However,only 11 and 13 women of groups A and B(group A/B,55%/59%),respectively,maintained their improvement during the median follow-up of50 mo.Better results were reported in patients with a greater change in the depth of their rectocele(≥4cm) after the procedure(P = 0.001).CONCLUSION:In both procedures,clinical outcomes might become progressively worse as the length of the follow-up is increased.A preoperative larger rectocele might have a better postoperative outcome.

关 键 词:直肠前突 肛提肌 经肛门 经阴道 

分 类 号:R657.1[医药卫生—外科学]

 

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