耻骨直肠肌综合征prs手术治疗分析-prs surgical treatment of puborectal syndrome.docxVIP

PAGE PAGE 3 中文摘要 目的：观察和评价手术结合中药治疗耻骨直肠肌综合征的疗效，以期对临床治 疗耻骨直肠肌综合征提供参考。 方法：将 57 例耻骨直肠肌综合征患者随机分为观察组和对照组，其中观察组 29 例采用改良耻骨直肠肌后位切除缝合术结合中药治疗，对照组 28 例采用经直肠 内耻骨直肠肌切除、纵切横缝术治疗。观察两组病例的总有效率、术后疼痛、小 便障碍、术后出血、切口感染、切口愈合时间、肛门功能及随访一年后的疗效情 况。应用统计学软件 SPSS FOR WI NDOS 12. 0 对结果进行统计学分析，以 P0. 05 表示差异有统计学意义。 结果：两组出院后 3 周总有效率对比，观察组为 93. 00％，对照组为 89. 30％。 经统计学分析差异有统计学意义（P=0. 0340. 05），观察组要优于对照组。随访 一年疗效对比观察组为 89. 65％， 对照组为 67. 86％，经统计学分析差异有统计 学意义（P=0. 0100. 05）；术后切口感染观察组发生例数要少于对照组；切口愈 合时间方面，观察组与对照组比较，P=0. 0130. 05，两组比较差异有统计学意义； 在术后疼痛、小便障碍、术后出血、肛门功能方面两组比较结果 P0. 05，差异 无统计学意义。 结论：改良耻骨直肠肌后位切除缝合术结合中药组临床疗效优于对照组，尤其 在缩短切口愈合时间、减少切口感染方面；对照组术后 1 年疗效下降率高于观察 组，两组比较差异有统计学意义。提示单纯手术治疗耻骨直肠肌综合征疗效欠佳， 应采取综合治疗，以提高临床效果。 关键词：耻骨直肠肌综合征 手术治疗 中药治疗 临床研究 ABSTRACT Objective：To obverse and assess the therapeutic effect of Puborectal muscle syndrome treated with operation and chinese medicine.To provide clinical evidence for method ’s selection of treating Puborectal muscle syndrome. Methods：Fifty-seven patients suffering from obstinate constipation were divided into two groups. Twenty-nine cases were treated with upgraded posterior resection and suturn method and treated with chinese medicine.Twenty-eight cases were treated with Per rectum partial resection of puborectal muscle and longitudinally cut transverse suture opration.Observe the effective power,the postoperative pain,the bleeding rate,the retention of urine, the infection rate,the length of the healing time,the anal disfunction and the relapse rate in twenve months.The relative results were calculated statistically with SPSS12.0 software.Statistically significance was accepted as the P value less than 0.05. Results：Patients in both groups were followed for one year.In the three week after post-discharge and twenve post-operative,there were difference in the effective power in the two groups(P0.05).The controlled group were significantly lower than the trial group .The numbers of trial group patient were fewer in the infection rate(P0.05) .And in the length