自动弹力线痔套扎术治疗直肠黏膜内脱垂型出口梗阻性便秘的临床效果  

Clinical effect of ruiyun procedure for hemorrhoids in the treatment of outlet obstructive constipation with internal rectal prolapse

作　　者：杨丽丽 沙静涛 李朝阳 张溪 YANG Lili;SHA Jingtao;LI Chaoyang;ZHANG Xi(Anorectal Department,Xi'an Hospital of Traditional Chinese Medicine,Xi'an 710021,China)

机构地区：[1]西安市中医医院肛肠科,陕西西安710021

出　　处：《临床医学研究与实践》2023年第31期14-17,共4页Clinical Research and Practice

基　　金：陕西省重点研发计划项目(No.2020SF-349)。

摘　　要：目的探讨自动弹力线痔套扎术(RPH)治疗直肠黏膜内脱垂(IRP)型出口梗阻性便秘(OOC)的临床效果。方法选择2020年1月至2021年12月于我科住院的80例IRP型OOC患者,按随机数字表法将其分为治疗组(n=40)与对照组(n=40)。治疗组行RPH治疗,对照组行直肠周围硬化剂注射术治疗。比较两组的临床疗效、出口梗阻评分、便秘评分、便秘临床证候评分及肛管直肠功能指标。结果治疗组的治疗总有效率高于对照组(P<0.05)。术后1个月,治疗组的Longo排便梗阻综合征(ODS)评分与便秘评分系统(CSS)均低于对照组(P<0.05)。术后1个月,治疗组的大便性状、排便频率、排便费力次数、便后排不尽感次数、排便时间评分均低于对照组(P<0.05)。术后1个月,治疗组的肛管静息压、肛管排便压显著低于对照组,直肠最大收缩压显著高于对照组(P<0.05)。结论RPH能有效提高IRP型OOC患者的临床疗效,降低术后出口梗阻评分及便秘评分,改善便秘症状。Objective To explore the clinical effect of ruiyun procedure for hemorrhoids(RPH)in the treatment of outlet obstructive constipation(OOC)with internal rectal prolapse(IRP).Methods Eighty patients with IRP and OOC who were hospitalized in our department from January 2020 to December 2021 were selected and divided into treatment group(n=40)and control group(n=40)according to the random number table method.The treatment group was treated with RPH,and the control group was treated with perirectal sclerosing agent injection.The clinical efficacy,outlet obstruction score,constipation score,constipation clinical symptoms scores and anorectal function indexes were compared between the two groups.Results The total treatment effective rate of the treatment group was higher than that of the control group(P<0.05).One month after operation,the scores of Obstructed Defecation Syndrome(ODS)and Constipation Scoring System(CSS)in the treatment group were lower than those in the control group(P<0.05).One month after operation,the scores of stool characteristics,frequency of defecation,frequency of defecation effort,frequency of incomplete defecation and defecation time in the treatment group were lower than those in the control group(P<0.05).One month after operation,the anal resting pressure and anal defecation pressure in the treatment group were significantly lower than those in the control group,and the maximum rectal systolic pressure was significantly higher than that in the control group(P<0.05).Conclusion RPH can effectively improve the clinical efficacy of patients with IRP and OOC,reduce the postoperative outlet obstruction score and constipation score,and improve the constipation symptoms.

关 键 词：出口梗阻性便秘 直肠黏膜内脱垂 自动弹力线痔套扎术 

分 类 号：R656[医药卫生—外科学]