双把痔吻合器治疗重度直肠前突的临床研究.pdfVIP

38 Chin j Co~oproclo[2007，Vol 27，No 12 双把痔吻合器治疗重度直肠前突的临床研究 山东省聊城市人民医院 泰山医学院聊城临床学院肛肠科(山东聊城252000) 鞠应东 刘 冉 鞠丽娟 李 强 摘要 为探讨国广：双把痔吻合器治疗重度直肠前突的疗效．回顺性分析采用双把痔吻合器治疗重度直肠前突3O例。结 果显示．有效率96．6 ，临床症状改善叫显，术岳随访6个月至2年，除1例症状改善不明显外，29例均很理想，且经病理检查 证实。双把痔吻合器比单把痔吻合器切除黏膜多且可达肌层，故术后疗效好。结果表明，重度直肠前突患者，实施双把痔吻 合器治疗，疗效确切。 关键词 直肠前突；吻合器；外科手术 Clinical Study on the Treatment of Severe Rectocele with Double—handle Stapler for Hemorrhoids _『“Yingdong，Liu Ran，J“Lij““”，et al Dept．of Coloproctology，the Liaocheng Municipal PeoplesHospitaILiaocheng Clinical College of Taishan Medical College，Liaocheng，Shandong 252000 Abstract In order to explore the curative effects of domestic double—handle stapler for hemorrhoids in the treatment of severe rectocele，authors analysed the data of 30 patientS with severe rectoeele who had under— went the treatment of doUble—handle stapler．As results，the response rate was 96．6 ，clinical symptoms were improved significantly．the follow—up of 6-24 monthes showed that 29 patients obtained ideal effects of symptoms improvement except for one patient being non—significant；and pathological examination demon— strated that the stapler could resect more mucous than single—handle stapler and up to muscular layer，thus the obtained postoperative therapeutic effects just are better．In a word，double—handle stapler therapy for severe rectocele can receive cartain curative effects． Key Words Rectocele；Stapler；Surgical operation 直肠前突(rectocele。RC)义称直肠前膨出，是 (ST100)各1个。(2)操作方法：局麻或腰俞穴麻 女性 口梗阻型便秘的常见原因之一 。有症状的 醉，取折刀位。行扩肛4～6指，在扩肛器引导下置 RC常合并不同程度的直肠黏膜松弛或内套整 ， 人透明肛镜并固定，令患者增加腹压充分显露直肠 治疗时必须同时处理才能达到理想的效果，尤其对 前壁黏膜。根据病变情况，在肛镜缝扎器的显露下， 于重度患者。2003～2005年笔者对30例重度 RC 于齿状线以上 6cm(一般为黏膜最松弛处)，用 患者采用双把痔吻合器进行治疗。取得满意疗效，现 1／2 7×17缝合圆针、7号慕丝缝合线做