摘要
目的探讨Delorme术及经腹直肠悬吊固定术治疗直肠脱垂临床疗效,为临床选择合适的手术方法提供依据。方法回顾性分析本院肛肠外科收治的40例直肠脱垂患者的临床资料,分别采用Delorme术及经腹直肠悬吊固定术治疗,比较两组患者手术一般情况(术中出血量、手术时间、住院时间、住院费用)、疗效及术后并发症发生情况。结果两组患者手术时间、术中出血量比较差异均无显著性(P>0.05),Delorme术组患者住院时间及住院费用均较经腹直肠悬吊固定术组少(P<0.05)。Delorme术组患者治疗有效率为85%(17/20),经腹直肠悬吊固定术组为100%(20/20),两组比较差异具有显著性(P<0.05)。Delorme术组患者术后便秘2例,肛门疼痛4例,经腹直肠悬吊固定术组分别为6例、5例,两组比较差异均具有显著性(P<0.05),但两组患者术后排便习惯改变比较差异无显著性(P>0.05)。结论两种术式患者术后直肠肛门功能均明显改善,采用Delorme术治疗的患者住院天数少,手术费用低,术后并发症发生率较低,但其复发率较高,临床医师术前应仔细评估患者病情,选择恰当的术式。
Objective To discuss on Delorme surgery and abdominal rectal suspension fixation clinical curative effect in the treatment of rectal prolapse, provide the basis for clinical selection of the proper operation methods. Method Retrospectived analysis of the clinical data of 40 cases of rectal prolapse were treated in our hospital with anorectal, respectively Delorme surgery and the treatment of rectal suspension ifxation. Compared of the two groups of patients with general surgery （intraoperative blood loss, operative time, length of stay, hospital costs）, efifcacy and the occurrence of postoperative complications. Result There was no signiifcant difference between two groups with operative time and blood loss （P〉0.05）. Length of stay and hospital costs in Delorme surgery group than in the abdominal rectal suspension ifxation group （P 0.05）. Conclusion Two patients of postoperative anorectal function are improved signiifcantly, Delorme in the patients with fewer hospitalization days, operation costs are low, the incidence of postoperative complication is low, but the high recurrence rate, clinicians should be carefully evaluated the patients in the preoperative, operative selection of appropriate.
出处
《中国医学前沿杂志（电子版）》
2015年第2期89-91,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
