腹腔镜下直肠乙状结肠部分切除术对Ⅱ~Ⅲ度直肠脱垂治疗价值  

Value of Laparoscopic Partial Rectosigmid Resection in the Treatment ofⅡtoⅢDegree Rectal Prolapse

作　　者：刁统伟 李承龙 DIAO Tongwei;LI Chenglong(Department of Anorectal Surgery,Tengzhou Central People's Hospital,Tengzhou,Shandong Province,277500 China)

机构地区：[1]滕州市中心人民医院肛肠外科,山东滕州277500

出　　处：《世界复合医学》2024年第3期160-163,共4页World Journal of Complex Medicine

摘　　要：目的探讨对Ⅱ~Ⅲ度直肠脱垂患者实施腹腔镜下直肠乙状结肠部分切除术的价值。方法方便选取2022年1月—2023年1月于滕州市中心人民医院肛肠外科确诊的58例Ⅱ~Ⅲ度直肠脱垂患者为研究对象,应用随机数表法分为对照组(n=29,行开腹直肠前切除术治疗)、观察组(n=29,行腹腔镜下直肠乙状结肠部分切除术治疗)。对比两组临床指标、治疗后肛管压力变化、Wexner便秘评分、Wexner肛门失禁评分、视觉模拟评分。结果观察组术中出血量及其他临床指标水平均低于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组的患者肛管静息压为(51.22±5.35)mmHg、肛管最大收缩压为(104.71±8.33)mmHg,均优于对照组(40.94±4.19)mmHg、(87.06±7.28)mmHg,差异有统计学意义(t=8.147、23.195,P均<0.05)。治疗后观察组Wexner肛门失禁评分、Wexner便秘评分及视觉模拟评分均低于对照组,差异有统计学意义(P均<0.05)。结论对Ⅱ~Ⅲ度直肠脱垂患者实施腹腔镜下直肠乙状结肠部分切除术,可减少患者手术应激,加速患者康复,降低患者术后并发症。Objective To explore the value of laparoscopic partial rectosigmoid resection in patients withⅡtoⅢdegree rectal prolapse.Methods A total of 58 patients diagnosed with gradeⅡtoⅢrectal prolapse in the Department of Anorectal Surgery in Tengzhou Central People's Hospital from January 2022 to January 2023 were selected conveniently as the study objects.The random number table method was used to divide the patients into the control group(n=29,treated by open anterior rectal resection)and the observation group(n=29,treated by laparoscopic partial rectosigmoidectomy).The clinical indicators,changes in anal canal pressure after treatment,Wexner Constipation Score,Wexne Anal Incontinence Score,and Visual Analogue Score were compared.Results The blood loss volume and other clinical indicators in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the patients in the observation group had better anal resting pressure(51.22±5.35)mmHg and canal maximum systolic pressure(104.71±8.33)mmHg compared to the control group(40.94±4.19)mmHg,(87.06±7.28)mmHg,and the differences were statistically significant(t=8.147,23.195,both P<0.05).After treatment,Wexner Constipation Score,Wexne Anal Incontinence Score,and Visual Analogue Score of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Laparoscopic partial rectosigmoid resection for patients withⅡtoⅢdegree rectal prolapse can reduce the patient's surgical stress,accelerate the patient's recovery,and reduce the occurrence of postoperative complications.

关 键 词：腹腔镜 直肠乙状结肠部分切除术 Ⅱ~Ⅲ度直肠脱垂 

分 类 号：R4[医药卫生—临床医学]