双吻合器痔上黏膜环形切除钉合术治疗直肠内套叠合并直肠前突50例疗效观察  

Double-stapled Circumferential Mucosectomy Hemorrhoidopexy in the Treatment of Internal Rectal Intususception Complicated with Rectocele:Effect Observation on 50 Cases

作　　者：张茂锋 ZHANG Maorfeng(No.2 General Surgery Dept.,the 1st People's Hospital of Luoyang City,Henan 471002)

机构地区：[1]洛阳市第一人民医院普外二科,河南洛阳471002

出　　处：《中国肛肠病杂志》2020年第10期42-44,共3页Chinese Journal of Coloproctology

摘　　要：为观察双吻合器痔上黏膜环形切除钉合术治疗直肠内套叠合并直肠前突患者疗效,将直肠内套叠合并直肠前突患者100例随机分为对照组和观察组,每组50例。对照组患者采用吻合器痔上黏膜环形切除钉合术治疗,观察组患者采用双吻合器痔上黏膜环形切除钉合术治疗,比较2组患者的疗效及治疗后焦虑、抑郁情况。结果显示,治疗后观察组患者显效率明显高于对照组(P<0.05);术后当天2组患者焦虑、抑郁评分无显著性差异(P>0.05),术后3d观察组患者焦虑、抑郁评分明显低于对照组(P<0.05)。结果表明,直肠内套叠合并直肠前突患者应用双吻合器痔上黏膜环形切除钉合术可以减轻患者的疼痛,使患者于治疗期间保持良好的心理情绪,防止患者病情复发,从而提高临床治疗效果。This study was to observe the effect of double-stapled circumferential mucosectomy hemorrhoidopexy(DSCMH)in the treatment of internal rectal intususception(IRI)complication with rectocele,randomly divided 100 patients with IRI complicated with rectocele into control group(50 cases,adopted stapled circumferential mucosectomy hemorrhoidopexy,i.e SCMH)and observation group(50 cases,DSCMH);then,compared both groups’effect,patients’post-treatmental anxiety and depression status.As results,the excellent effective rate of observation group was significantly higher than that of control group(P<0.05);on the day of operation in the score ratings of patients’anxiety and depression status there was no statistical difference between the two groups(P>0.05),but 3 days after operation the score ratings of observation group were significantly lower than that of control group(P<0.05).Results show that for IRI complicated rectocele performing DSCMH on patients can reduce patients’pain,make patients keeping good mental emotion during treatment,prevent from condition recurrence,thus uplift effect.

关 键 词：直肠内套叠 直肠前突 双吻合器痔上黏膜环形切除钉合术 

分 类 号：R657.18[医药卫生—外科学]