经肛门吻合器直肠黏膜部分切除术治疗排便障碍型便秘患者的效果观察  

Effect Observation of Stapled Transanal Partial Rectum Mucosa Resection in Treatment of Constipation Patients with Defecation Disorder

作　　者：张宝建 Zhang Bao-jian(Department of General Surgery,Dingxing Changgung Hospital,Baoding 072650,Hebei Province,China)

机构地区：[1]定兴长庚医院普外科,河北保定072650

出　　处：《中国社区医师》2023年第7期83-85,共3页Chinese Community Doctors

摘　　要：目的:探究经肛门吻合器直肠黏膜部分切除术治疗排便障碍型便秘患者的效果。方法:选取2020年3月—2021年8月定兴长庚医院普外科收治的50例排便功能障碍型便秘患者作为研究对象,应用计算机随机法分为对照组和研究组,各25例。对照组给予传统黏膜柱状缝扎术治疗,研究组给予经肛门吻合器直肠黏膜部分切除术治疗。比较两组手术时间、术后疼痛时间、术后下床时间、出院时间及便秘患者生活质量量表(PAC-QOL)评分、并发症发生情况。结果:研究组手术时间、术后疼痛时间、术后下床时间、出院时间均短于对照组,差异有统计学意义(P<0.05)。治疗前,两组生理、社会心理、担忧、满意度评分比较,差异无统计学意义(P>0.05);治疗后,两组生理、社会心理、担忧、满意度评分均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:给予排便障碍型便秘患者经肛门吻合器直肠黏膜部分切除术,可有效缩短患者的手术时间、住院时间,且降低患者术后疼痛,提高治疗的效果及患者生活质量。Objective:To explore the effect of stapled transanal partial rectum mucosa resection in the treatment of constipation patients with with defecation disorder.Methods:A total of 50 constipation patients with with defecation disorder admitted to the Department of General Surgery,Dingxing Changgung Hospital from March 2020 to August 2021 were selected as the study subjects,and they were divided into control group and study group according to the computer randomization method,with 25 cases in each group.The control group was treated with traditional mucosal columnar suture ligation,and the study group received stapled transanal partial rectum mucosa resection.The operation time,postoperative pain time,postoperative ambulation time,time of discharge,Patient Assessment of Constipation Quality of Life(PAC-QOL)questionnaire score,and the occurrence of complications were compared between two groups.Results:Operation time,postoperative pain time,postoperative ambulation time and discharge time in the study group were shorter than those in the control group,with statistically significant difference(P<0.05).Before treatment,there were no significant differences in physiological,psychosocial,worry,and satisfaction scores between the two groups(P>0.05).After treatment,the physiological,psychosocial,worry,and satisfaction scores of the two groups were higher than those before treatment,and the study group was higher than the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The stapled transanal partial rectum mucosa resection in the treatment of constipation patients with with defecation disorder can effectively shorten the operation time and hospital stay,reduce the postoperative pain,improve the effect of treatment and the patient's quality of life.

关 键 词：经肛门吻合器直肠黏膜部分切除术 排便障碍型便秘 传统黏膜柱状缝扎术 

分 类 号：R657.1[医药卫生—外科学]