腹腔镜与开腹直肠悬吊固定术治疗直肠全层脱垂的临床疗效  

Laparoscopic and Open Rectal Suspension Fixation for the Treatment of Rectal Prolapse

作　　者：付学广 蒋宏[1] 李保松[1] 樊鹏[1] FU Xueguang;JIANG Hong;LI Baosong;FAN Peng(Department of Abdominal Wall and Hernia Surgery,Affiliated Hospital of Binzhou Medical College,Binzhou Shandong 256603,China)

机构地区：[1]山东省滨州医学院附属医院腹壁与疝外科,山东滨州256603

出　　处：《中国继续医学教育》2020年第24期127-129,共3页China Continuing Medical Education

摘　　要：目的研究腹腔镜与开腹直肠悬吊固定术治疗直肠全层脱垂的临床疗效。方法选取本院于2016年3月—2018年3月期间接治的直肠全层脱垂患者48例,对施行腹腔镜治疗的24例患者为腹腔镜组,对施行开腹直肠悬吊固定术治疗的24患者为开腹组,观察两组患者的治疗效果。结果腹腔镜组术后1天VAS评分较开腹组更低(P<0.05),住院时间短于开腹组(P<0.05),术中失血量要低于开腹组(P<0.05),并发症发生率差异无统计学意义(P=0.188)。结论与传统开腹术式对比,腹腔镜下进行直肠悬吊固定术创伤性更小,患者术后恢复更快,疼痛更轻,可优先用于临床治疗中。Objective To study the clinical efficacy of laparoscopic and open rectal suspension fixation in the treatment of full-thickness rectal prolapse.Methods From March 2016 to March 2018,total of 48 patients with full-thickness rectal prolapse treated in our hospital were selected.24 patients treated with laparoscopy were selected as laparoscopy group,and 24 patients treated with open rectal suspension fixation were selected as laparotomy group.the therapeutic effects of the two groups were observed.Results One day after operation,the VAS score of the laparoscopic group was lower than that of the open group,the hospital stay was shorter than that of the open group,the intraoperative blood loss was lower than that of the open group,and the difference incidence of complications group was not statistically significant(P=0.188).Conclusion compared with traditional laparotomy,laparoscopic rectal suspension fixation has less trauma,faster postoperative recovery and less pain,so it can be given priority in clinical treatment.

关 键 词：腹腔镜手术 开腹手术 直肠悬吊固定术 全层直肠脱垂 临床治疗效果 随机对照 

分 类 号：R445[医药卫生—影像医学与核医学]