PPH并肛门括约肌松解术治疗直肠前突临床分析.docVIP

PPH并肛门括约肌松解术治疗直肠前突临床分析 　　[摘要] 目的 分析和研究PPH并肛门括约肌松解术治疗直肠前突的临床治疗效果。方法 整群选取该院在2015年12月―2016年12月期间收治的136例直肠前突患者，按照随机分配原则将所有患者分为参照组和研究组，各68例，其中参照组患者采用经阴道修补术治疗，研究组患者采用PPH并肛门括约肌松解术治疗，观察和比较两组患者的临床治疗效果。结果 参照组患者的治疗总有效率为70.59%，研究组患者的治疗总有效率为97.06%，由此可以看出，研究组患者的治疗有效率要显著高于参照组，并且研究组患者排粪造影复查结果6 mm的比重要显著高于参照组，比较差异有统计学意义（P0.05）。 结论 采用PPH并肛门括约肌松解术治疗直肠前突，其临床治疗效果得到显著增强，在临床中值得推广。 　　[关键词] 直肠前突；经阴道修补术；PPH；肛门括约肌松解术；临床观察 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）12（a）-0035-03 　　[Abstract] Objective To analyze and research the clinical treatment effect of PPH and anal sphincter loose solution？in treatment of rectum before dash forward. Methods 136 cases of patients with rectum before dash forward admitted and treated in our hospital from December 2015 to December 2016 were group selected and randomly divided into two groups with 68 cases in each， the control group were treated with colporrhaphy， while the research group were treated with PPH and anal sphincter loose solution， and the clinical treatment effect of the two groups were observed and compared. Results The total treatment effective rate in the control group and in the research group was respectively 70.59% and 97.06%， therefore， the total treatment effective rate in the research group was obviously higher than that in the control group， and the ratio of cases whose defecography 6 mm in the research group was obviously higher than that in the control group， and the difference was statistically significant（P0.05）. Conclusion The clinical effect of PPH and anal sphincter loose solution？in treatment of rectum before dash forward is obviously enhanced， and it is worth clinical promotion. 　　[Key words] Rectum before dash forward； Colporrhaphy； PPH； Anal sphincter loose solution； Clinical observation 　　便秘作?榱俅仓械亩喾⒉『统＜?病，会在一定程度上降低患者的生活质量，严重的话甚至会对正常的生活和工作产生影响，其中在肛肠科中由于直肠前突所造成的出口梗阻型便秘的治疗难度相对较大，因此还需要进一步加强对这一方面的研究[1]。在近几年，随着生活习惯和生活方式的改变，便秘人数不断增多。该文主要是针对该院在2015年12月―2016年12月期间收治的136例直肠前突患者，采取PPH并肛门括约肌松解术治疗，发现效果良好，现报道如下。 　　1 资料与方法 　　1.1