痔上黏膜环切术治疗直肠前突所致出口梗阻型便秘的疗效观察  

Clinical observation of procedure for prolapse and hemorrhoids for outlet obstructive constipation caused by rectocele

作　　者：张忠伟[1] 刘扬[1] 路明[1] ZHANG Zhongwei LIU Yang LU Ming.(Department of General Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Chin)

机构地区：[1]新疆医科大学第一附属医院普外科

出　　处：《临床外科杂志》2016年第10期774-776,共3页Journal of Clinical Surgery

摘　　要：目的探讨痔上黏膜环切术（PPH）治疗中重度直肠前突所引起的梗阻型便秘的临床疗效。方法对48例中重度直肠前突患者采用痔上黏膜环切术治疗，随访4～6个月，对比分析手术前后肛管直肠测压参数。结果患者术后每天1～2次软便，自觉排便梗阻感明显缓解，手术前后患者直肠静息压、肛管静息压、各项感觉阈值变化差异均无统计学意义（P ＞0.05），直肠力排压与肛管舒张压力值降低差异有统计学意义（P ＜0.05）。结论 PPH 术是一种治疗直肠前突所致出口梗阻型便秘的有效方法。Objective To investigate the clinical effectiveness of procedure for prolapse and hemorrhoids（PPH） in the treatment of outlet obstructive constipation caused by moderate and severe recto- cele. Methods A total of 48 patients with moderate or severe rectocele were treated with PPH. Patients were followed up for 4 ~ 6 months. The preoperative and postoperative parameters from rectoanal manome- try were compared and analyzed. Results After the surgery, patients had loose stool for 1 ~ 2 times a day. Sense of defecation obstruction in all patients was obviously improved. After the surgery, there were no significant changes in rectum resting pressure, anal resting pressure and various rectal sensitivity （P 〉 0.05 ）. However, the decrease of inside rectal pressure and residual anal pressure were significantly re- duced（P 〈 0.05）. Conclusion The subjective defecation feeling of postoperative patients with PPH is unblock. Objective results of rectoanal manometry is clearly improved and the function of the rectum and anal canal is obviously restored.

关 键 词：直肠前突 痔上黏膜环切术 直肠肛管测压 

分 类 号：R657.1[医药卫生—外科学]