PPH与STARR术治疗出口梗阻性便秘的临床疗效比较  

Clinical effect of PPH and STARR in treatment of rectum constipation

作　　者：刘任林 

机构地区：[1]江西省萍乡市人民医院肛肠科,江西萍乡337000

出　　处：《中国现代医生》2015年第29期42-44,共3页China Modern Doctor

摘　　要：目的探讨痔上黏膜环切术（procedure for prolapse and hemorrhoids, PPH）与经肛吻合器直肠切除术（stapled transanal rectal resection,STARR）治疗出口梗阻性便秘的临床疗效。方法随机选取2012年3月～2015年2月我院收治的89例出口梗阻性便秘患者的临床资料，按照随机数字表法将患者分为实验组和对照组，实验组45例，对照组44例。对照组患者采用PPH术治疗，实验组患者采用STARR术治疗。观察患者手术时间、住院费用、切除宽度、术中出血量、住院时间、并发症发生率及治疗前和治疗后3个月排粪造影检查结果。结果实验组患者手术时间、切除宽度、住院费用均明显高于对照组，差异有统计学意义（P〈0．05）；两组患者并发症发生率比较，差异无统计学意义（P〉0．05）；实验组患者治疗后3个月直肠前突、直肠内套叠程度以及力排时肛直角开大角度均明显低于对照组，静息相肛直角明显高于对照组，差异有统计学意义（P〈0．05）。结论STARR术治疗出口梗阻性便秘的临床疗效显著，但患者手术时间较长，住院费用较高。Objective To explore the clinical effects of PPH and STARR in treatment of rectum constipation. Methods A total of 89 cases of patients with rectum constipation were randomly divided into experiment group （45 cases） and control group （44 cases）. The control group was treated by PPH, the experiment group was treated by STARR. The op- erative time, hospitalization expenses, removal of the width, blood loss of the operation, length of stay, postoperative morbidity were compared between the two groups, the results of constipation defecography were also compared between the two groups. Results The length of stay, postoperative morbidity and removal of the width in the experiment group were higher than the control group（P〈0.05）; There was no significant difference on the rate of complication（P〉0.05）; The rate of rectocele, rectum nested levels posttreatment and anorectal angle when forcibly defecated in the experiment group were lower than the control group（P〈0.05）; The anal resting phase angles in the experiment group was higher than the control group（P〈0.05）. Conclusion It has distinct clinical curative effect for the patients with rectum constipa- tion by STARR, it needs long time and high expense.

关 键 词：PPH STARR 梗阻性便秘 

分 类 号：R657.1[医药卫生—外科学]