PPH治疗直肠前突所致出口梗阻性便秘的近远期疗效评估.pdf

中国医药导刊 193 2014年 第16 卷 第2 期 （总第124期） PPH治疗直肠前突所致出口梗阻性便秘的近远期疗效评估 谭书锦,别君 (湖北省仙桃市第一人民医院外科,仙桃433000) 【摘要】目的:探讨痔上黏膜环切术(PPH)治疗直肠前突(RC)所致出口梗阻性便秘(ODS)的近远期疗效。方法:回顾性分析我院收 治106例RC所致ODS患者并对其进行3年随访,分别采用PPH术(治疗组)和传统的经直肠切开前突修补术(对照组),每组各53例。比 较两组患者的近期疗效、远期并发症及复发情况。结果:两组住院时间、创面愈合时间、疼痛指数及术后近期并发症等差异有统 计学意义(P<0.05) 。术后3年内,两组并发症发生率差异均无统计学意义(P>0.05),而术后2 、3年,PPH组的复发率显著低于对照组 (P<0.05) 。结论:PPH术治疗C所致ODS的近期疗效优于前突修补术,术后恢复快,可降低近期并发症及远期复发率。 【关键词】出口梗阻性便秘;直肠前突;痔上黏膜环切术;直肠前突修补术 【中图分类号】R657.1;R442.2 【文献标识码】A 【文章编号】1009-0959(2014)02-0193-03 Study on the Short-term and Long-term Effect of Prolapse and Hemorrhoids for Obstructed Defecation Syndrome Caused by Rectocele Tan Shu-j ing,Bie Jun (Xiantao First People's Hospital,Hubei Province, surgical deparment ,Xiantao 433000,China) 【 】 To study the short-term and long-term effect of procedure for prolapse and hemorrhoids(PPH) in the ABSTRACT Objective: treatment of obstructed defecation syndrome (ODS) caused by rectocele (RC).Methods: 106 ODS patients caused by RC in our hospital were treated by PPH (treatment group,n=53) and rectal wall repair (control group,n=53),and all the cases were followed for 3 years.Short- term effect,long-term complication and recurrence were compared and analyzed.Results:There were significant difference in the hospital stay,wound healing time,pain index and short-term complication between treatment group and control group (P<0.05).There were no significant difference in the long-term complication durin