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Therapeutic effects of the TST36 stapler on rectocele combined with internal rectal prolapse 被引量:4
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作者 Jin Meng Zhi-Tao Yin +7 位作者 Ying-Yi Zhang Yong Zhang Xiu Zhao Qing Zhai De-Yu Chen Wei-Gang Yu Lei Wang Zhi-Gang Wang 《World Journal of Gastrointestinal Surgery》 SCIE 2021年第5期443-451,共9页
BACKGROUND The most common causes of outlet obstructive constipation(OOC)are rectocele and internal rectal prolapse.The surgical methods for OOC are diverse and difficult,and the postoperative complications and recurr... BACKGROUND The most common causes of outlet obstructive constipation(OOC)are rectocele and internal rectal prolapse.The surgical methods for OOC are diverse and difficult,and the postoperative complications and recurrence rate are high,which results in both physical and mental pain in patients.With the continuous deepening of the surgeon’s concept of minimally invasive surgery and continuous in-depth research on the mechanism of OOC,the treatment concepts and surgical methods are continuously improved.AIM To determine the efficacy of the TST36 stapler in the treatment of rectocele combined with internal rectal prolapse.METHODS From January 2017 to July 2019,49 female patients with rectocele and internal rectal prolapse who met the inclusion criteria were selected for treatment using the TST36 stapler.RESULTS Forty-five patients were cured,4 patients improved,and the cure rate was 92%.The postoperative obstructed defecation syndrome score,the defecation frequency score,time/straining intensity,and sensation of incomplete evacuation were significantly decreased compared with these parameters before treatment,and the differences were statistically significant(P<0.05).The postoperative anal canal resting pressure and maximum squeeze pressure in patients decreased compared with before treatment,and the differences were statistically significant(P<0.05).The initial and maximum defecation thresholds after surgery were significantly lower than those before treatment,and the differences were statistically significant(P<0.05).The postoperative ratings of rectocele,resting phase,and defecation phase in these patients were significantly decreased compared with those before treatment,and the differences were statistically significant(P<0.05).CONCLUSION The TST36 stapler is safe and effective in treating rectocele combined with internal rectal prolapse and is worth promoting in clinical work. 展开更多
关键词 tst36 stapler RECTOCELE Internal rectal prolapse Outlet obstructive constipation Longo obstructed defecation syndrome score CONSTIPATION
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TST36与PPH治疗直肠黏膜脱垂的临床疗效对比研究 被引量:8
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作者 彭逸潮 刘奕武 彭晓容 《结直肠肛门外科》 2018年第3期296-299,共4页
目的比较直肠黏膜切除吻合术36(TST36)和吻合器痔上黏膜环切术(PPH)治疗直肠黏膜脱垂的临床效果。方法纳入本院2016年3月至2017年10月收治的80例直肠黏膜脱垂患者作为研究对象,随机分为两组,每组各40例。观察组行TST36治疗,对照组行PPH... 目的比较直肠黏膜切除吻合术36(TST36)和吻合器痔上黏膜环切术(PPH)治疗直肠黏膜脱垂的临床效果。方法纳入本院2016年3月至2017年10月收治的80例直肠黏膜脱垂患者作为研究对象,随机分为两组,每组各40例。观察组行TST36治疗,对照组行PPH治疗。比较两组手术基本情况、手术疗效和术后并发症情况。结果两组手术时间、术后首次排气时间及住院时间差异均无统计学意义(均P>0.05),观察组手术切除标本质量大于对照组,差异有统计学意义(P<0.05)。观察组痊愈率高于对照组,总体疗效优于对照组,差异有统计学意义(P<0.05)。观察组术后肛门坠胀情况优于对照组(P<0.05),两组术后肛门疼痛情况差异无统计学意义(P>0.05),住院期间两组均无直肠狭窄和肛门失禁等严重并发症发生。两组术后复发率差异无统计学意义(P>0.05)。结论 TST36较PPH治疗直肠黏膜脱垂的总体疗效及术后肛门坠胀情况更优,且具有更大的标本切除质量。 展开更多
关键词 tst36 PPH 直肠黏膜脱垂
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