联合术式治疗直肠脱垂102例疗效分析  

Curative Effect Analysis of the Combined Operation in the Treatment of Rectal Prolapse in 102 Patients

作　　者：王伟一[1] 赵亚冰[1] 

机构地区：[1]河南省永城市人民医院肛肠科,河南永城476600

出　　处：《中外医疗》2015年第12期63-64,共2页China & Foreign Medical Treatment

摘　　要：目的探讨联合术式治疗直肠脱垂的临床效果,并对其治疗作用进行分析及评价。方法回顾性分析2014年1—8月该院收治直肠脱垂患者共102例,随机分为观察组和对照组,各51例,对照组采用经腹直肠悬吊固定术治疗,观察组采用经腹、肛门联合术式方法治疗,比较两组患者的治疗效果并分析评价。结果对照组的治疗有效率为80.3%,观察组的治疗有效率为94.1%,两组比较差异有统计学意义(P<0.05);观察组患者的住院天数为(11.57±3.54)d,对照组患者的住院天数为(21.61±6.23)d,两组比较差异有统计学意义(P<0.05);对照组患者术后并发症的发生率为33.3%,过程组患者术后并发症的发生率为13.7%,两组比较差异有统计学意义(P<0.05)。结论经腹、肛门联合术式治疗直肠脱垂有效提高治愈率,缩短患者住院时间,减少患者的住院花销,同时也有利于减少患者术后并发症的发生,是值得临床推广的治疗直肠脱垂的手术的方法。Objective To investigate the clinical effect of combined operation in the treatment of rectal prolapse,and analysis and evaluate its therapeutic effects.Methods 102 cases with rectal prolapse in our hospital from January to August 2014 were retrospectively analyzed,they were randomly divided into observation group and control group,with 51 cases in each group,the control group using abdominal rectal suspension fixation treatment,and the observation group adopted the combined abdome- anus surgery,then compared the treatment effect of patients of two groups.Results The effective rate of the treatment group was 80.3%,the effective rate of treatment in the observation group was 94.1%,the difference between two groups was statistically significant（P〈0.05）;the days of hospitalization for patients in the treatment group was（21.61 ＋ 6.23） d,the days of hospitalization for patients in the control group was（21.61 ＋ 6.23） d,the difference between two groups was statistically significant（P〈0.05）;the incidence of postoperative complications of the control group was 33.3%,the incidence of postoperative complications of the process group was 13.7%,the difference between two groups was statistically significant（P〈0.05）.Conclusion Transabdominal,anal combined with surgical treatment of rectal prolapse is effective to improve the cure rate,shorten the hospitalization time,reduce the inpatient expenses,but also conducive to reduce postoperative complications,is worthy of clinical application methodsfor the treatment of rectal prolapse surgery.

关 键 词：直肠脱垂 联合术式 临床疗效 对比 

分 类 号：R5[医药卫生—内科学]