经肛门吻合器直肠部分切除术治疗直肠前突的临床分析  

Clinical Analysis of Partial Rectal Resection with Transanal Stapler in the Treatment of Rectal Protrusion

作　　者：杨坤 YANG Kun(Department of General Surgery,Tianjin Jinnan Hospital,Tianjin 300350)

机构地区：[1]天津市津南医院普外科,天津300350

出　　处：《中国医疗器械信息》2022年第8期88-89,174,共3页China Medical Device Information

摘　　要：目的:观察与分析经肛门吻合器直肠部分切除术治疗直肠前突的临床效果。方法:选择本院2020年1月~2021年1月在肛肠外科进行手术治疗的56例直肠前突患者为对象,按照随机数序表法,将其分为参照组(28例)与研究组(28例)。其中,参照组患者采用经肛门直肠前突闭式修补术治疗,而研究组患者经肛门吻合器直肠部分切除术治疗,比较分析两组患者临床手术治疗效果、围手术期相关指标及并发症发生情况、术后排便改善情况。结果:研究分析发现:①研究组患者手术治疗总有效率96.43%(27/28)高于参照组67.86%(19/28),且组间数据差异比较具有统计学意义(z=2.029,P=0.043);②研究组患者手术时间、术中出血量及住院时间、VAS评分均低于参照组,组间差异比较均具有统计学意义(P<0.05);③研究组患者术后并发症发生率7.14%(2/28)低于参照组28.57%(8/28),差异具有统计学意义(χ^(2)=4.383,P=0.036);④研究组患者术后排便改善率100.00%(28/28)高于参照组78.57%(22/28),且组间差异具有统计学意义(χ^(2)=4.667,P=0.031)。结论:对直肠前突患者经肛门吻合器直肠部分切除术治疗效果显著,不但可以减少患者手术时间、住院时间及术中出血量,还可以降低患者术后并发症发生风险。Objective:To observe and analyze the clinical effect of partial rectal resection with transanal stapler in the treatment of rectal protrusion.Methods:56 cases of rectal protrusion patients who came to our hospital for surgical treatment in anorectal surgery from January 2020 to January 2021 were selected as subjects.According to the random book sequence method,they were divided into reference group(28 cases)and study group(28 cases).Among them,patients in the reference group were treated with transanorectal protrusion closed repair,while patients in the study group were treated with partial rectal resection via an anal stapler.The clinical surgical treatment effect,perioperative related indicators and complications of the two groups of patients were compared and analyzed.Occurrence,postoperative defecation improvement.Results:The research analysis found that:①The total effective rate of surgical treatment in the study group was 96.43%(27/28)higher than that of the reference group 67.86%(19/28),and the difference in data between the groups was statistically significant(z=2.029,P=0.043);②The operation time,intraoperative blood loss,length of hospitalization,and VAS scores of the study group were lower than those of the reference group,and the differences between the groups were statistically significant(P<0.05);③The incidence of postoperative complications in the study group was 7.14%(2/28)lower than that in the reference group,28.57%(8/28),with a statistically significant difference(χ^(2)=4.383,P=0.036);④The improvement rate of postoperative bowel movements in the study group was 100.00%(28/28)was 78.57%(22/28)higher than the reference group,and the difference between the groups was statistically significant(χ^(2)=4.667,P=0.031).Conclusion:The therapeutic effect of partial rectal resection with anal stapling is significant for patients with rectocele.It can not only reduce the operation time,hospitalization time and intraoperative blood loss,but also reduce the risk of postoperative complications.

关 键 词：经肛门吻合器直肠部分切除术 经肛门直肠前突闭式修补术 直肠前突 

分 类 号：R65[医药卫生—外科学]