摘要
目的探讨改良经会阴直肠乙状结肠切除术(Altemeier术)治疗直肠脱垂(RP)疗效分析。方法将2017-03/2020-07当阳市人民医院肛肠科收治符合纳入标准的12例直肠脱垂(RP)患者,行改良Altemeier术治疗,并观察患者术前与术后3个月,肛门失禁Wexner评分、便秘Wexner评分、肛管静息压(ARP)、肛管最大收缩压(AMCP)及术后总有效率。随访6~12个月,观察术后并发症及RP复发情况。计量资料以(x±s)表示,采用t检验;计数资料以率表示,率的比较采用χ^(2)检验,以P<0.05为差异有统计学意义。结果本组12例患者术后治愈8例,有效4例,总有效率100.00%。术后3个月肛门失禁Wexner评分和便秘Wexner评分均明显低于术前,手术前后比较差异具有显著性(P<0.05),而术后3个月ARP及AMCP测定值明显高于术前,比较差异具有统计学意义(P<0.05),术后随访6-12个月,本组1例患者复发,复发率8.33%(1/12)。出现肛门疼痛1例,便秘1例,并发症发生率为16.67%(2/12)。结论改良Altemeier术治疗RP可以有效改善肛门功能,疗效确切,并发症少,具有临床应用价值。
Objective To investigate the effect of modified Altemeier operation in the treatment of rectal prolapse(RP).Methods Twelve patients with rectal prolapse(RP) who met the inclusion criteria from March 2017 to July 2020 in our hospital,conduct modified Altemeier treatment,the Wexner score of anal incontinence,Wexner score of constipation,anal resting pressure(ARP),anal canal maximum systolic pressure(AMCP) and total effective rate were observed before and 3 months after operation.The patients were followed up for 6 to 12 months to observe postoperative complications and recurrence of RP.Results This group of 12 patients,8 cases were cured,4 cases were effective,and the total effective rate was 100.00%.the Wexner scores of anal incontinence and constipation at 3 months after operation were significantly lower than those before operation,there was significant difference before and after operation(P<0.05),the values of ARP and AMCP at 3 months after operation were significantly higher than those before operation,the difference was statistically significant(P<0.05),the patients were followed up for 6 to 12 months.One case recurred,and the recurrence rate was 8.33%(1/12).there was 1 case of anal pain and 1 case of constipation.The complication rate was 16.67%(2/12).Conclusion Modified Altemeier surgery for the treatment of RP can effectively improve anus function,with definite curative effect,fewer complications,and clinical application value.
作者
范慰隆
FAN Weiong(Department of Anorectal People's Hospital of Dangyang,Dangyang 444100,Hubei Province,China)
出处
《职业卫生与病伤》
CAS
2021年第2期103-105,114,共4页
Occupational Health and Damage
