摘要
目的观察经会阴吻合器直肠脱垂切除术治疗完全性直肠脱垂的临床效果。方法选取2019年1月至2020年1月我院收治的60例完全性直肠脱垂患者,随机分为对照组和观察组各30例。对照组采用经会阴直肠乙状结肠部分切除术治疗,观察组采用经会阴吻合器直肠脱垂切除术治疗,比较两组患者术前及术后3个月直肠肛管功能指标[直肠感知阈值(RVST)、肛管静息压(ARP)、肛管高压带长度(HPZL)],并统计两组患者术后3个月内的复发情况。结果术后3个月,两组的RVST低于术前,ARP、HPZL均高于术前,且观察组的RVST低于对照组,ARP、HPZL高于对照组(P<0.05)。术后3个月内,观察组的复发率为3.33%,明显低于对照组的26.67%(P<0.05)。结论经会阴吻合器直肠脱垂切除术治疗完全性直肠脱垂效果显著,可有效改善患者的直肠肛管功能,且复发率较低,值得临床推广应用。
Objective To observe the clinical effect of transperineal stapled rectal prolapse resection in the treatment of complete rectal prolapse.Methods 60 patients with complete rectal prolapse admitted to our hospital from January 2019 to January 2020 were selected and randomly divided into control group and observation group,with 30 cases in each group.The control group was treated with transperineal rectosigmoid partial resection,and the observation group was treated with transperineal stapled rectal prolapse resection.The anorectal function indicators[rectal volume at sensory threshold(RVST),anal resting pressure(ARP),anal high pressure zone length(HPZL)]before operation and 3 months after operation were compared between the two groups.The recurrence of the two groups within 3 months after operation was counted.Results 3 months after operation,the RVST of both groups were lower than those before operation,and the ARP and HPZL were higher than those before operation(P<0.05);The RVST of the observation group was lower than that of the control group,and the ARP and HPZL were higher than those of the control group(P<0.05).Within 3 months after the operation,the recurrence rate of the observation group was 3.33%,significantly lower than 26.67%of the control group(P<0.05).Conclusions Transperineal stapled rectal prolapse resection has significant effect in the treatment of complete rectal prolapse,and can improve the anorectal function of patients,with lower recurrence rate,which is worthy of clinical promotion and application.
作者
毛志斌
吴盟
MAO Zhibin;WU Meng(Department of Anorectal Surgery,Zhengzhou Fengyi Anorectal Hospital,Zhengzhou 450000,China)
出处
《临床医学工程》
2021年第9期1181-1182,共2页
Clinical Medicine & Engineering
基金
2019河南省医学科技攻关计划联合共建项目(项目编号:LHGJ2019122)。
