改良STARR术治疗中、重度直肠前突的临床研究  

The clinical research of improved STARR to treat patients with moderate to severe rectocele

作　　者：王爱磊[1] 陆庆革[1] 刘宇[1] 李小海[1] 刘越军[1] 谭欣 

机构地区：[1]唐山市中医医院,河北唐山063000 [2]唐山市曹妃甸区医院外科

出　　处：《结直肠肛门外科》2015年第2期129-132,共4页Journal of Colorectal & Anal Surgery

基　　金：河北省卫生厅计划课题编号:20130320

摘　　要：目的对治疗中、重度直肠前突的三种不同手术方式进行比较和评价,为中重度直肠前突手术方式的选择提供依据。方法将120例中、重度直肠前突患者随机分成三组,A组(40例)采用改良STARR手术,B组(40例)采用常规STARR手术,C组(40例)采用经阴道切开修补术。分别观察分析三组患者手术情况、术后并发症及临床疗效。结果 A组在手术时间、术中出血、术后疼痛、术后坠胀、住院时间等方面优于C组。A组在术后坠胀、吻合口裂开等方面优于B组,A组在远期疗效方面优于B组及C组。结论改良STARR手术治疗中、重度直肠前突简便易行,术后并发症发生率低,近、远期疗效更佳。Objective To compare and evaluate three different surgical methods for the treatment of moderate to severe rectocele,and to provide the basis for the moderate to severe rectocele surgery choices.Methods One hundred and twenty patients with moderate to severe rectocele were randomly divided into three groups.Group A（N =40）were performed the operation of improved STARR.Group B（N =40）were performed operation of the routine STARR.Group C（N =40）were performed the operation of transvaginal incision and neoplasty.The complications and clinical efficacywere compared.Results The group A had less operation time,operation bleeding,postoperative pain,bearing down of anus and length of stay than the group C.The group A had less bearing down of anus,anastomotic rupture than the group B.The group A had the best long-term efficacy.Conclusion Improved STARR is a simple and effective method to treat moderate to severe rectocele.Improved STARR indicated the lower postoperative complication incidence and the better clinical efficacy.

关 键 词：直肠前突 便秘 改良STARR手术 治疗 对比 

分 类 号：R657.1[医药卫生—外科学]