直肠黏膜点状缝扎联合肛门环缩术治疗直肠脱垂可行性与有效性分析.docVIP

直肠黏膜点状缝扎联合肛门环缩术治疗直肠脱垂可行性与有效性分析 　　【摘 要】目的：对直肠粘膜点状缝扎联合肛门环缩术治疗直肠脱垂有效性及可行性进行研究。方法：选择2015年8月-2016年8月在我院接受治疗的100例直肠脱垂患者为观察对象，将患者随机分为两组，分别为对照组和治疗组，每组各50例患者。对照组患者使用硬化剂注射联合肛门环缩术治疗，治疗组患者使用直肠粘膜点状缝扎联合肛门环缩术治疗，对比两组患者的治疗有效率、并发症情况、复发率。结果：对照组患者治疗总有效率为80%，治疗组患者治疗有效率为98%，明显治疗组患者的治疗有效率高于对照组（p0.05）；对照组患者的并发症情况及复发率分别为5（10%）、8（16%），治疗组患者的并发症情况及复发率分别为0（0%）、1（2%），，明显观察组患者的并发症情况及复发率小于对照组，数据差异具有统计学意义（p0.05）。结论：在治疗直肠脱垂过程中，直肠粘膜点状缝扎联合肛门环缩术具有良好的治疗效果，并且能够降低患者的并发症及复发率情况。 　　【关键词】直肠粘膜点状缝扎；肛门环缩术；直肠脱垂 　　[Abstract] Objective：To study the effectiveness and feasibility of rectal mucosal punctate suture and anus ring reduction in the treatment of rectal prolapse.Methods：One hundred cases of rectal prolapse who were treated in our hospital from August 2015 to August 2016 were selected as the observation subjects.The patients were randomly divided into two groups：the control group and the treatment group，with 50 patients in each group .Patients in the control group were treated with sclerotherapy combined with anal ring contraction.Patients in the treatment group were treated with rectal mucosal punctate suture and anal ring contraction，and the treatment efficiency，complications and recurrence rate were compared between the two groups.Results：The total effective rate of the control group was 80%，the effective rate of the treatment group was 98%，the treatment effective rate was significantly higher in the treatment group than in the control group （p 0.05）； the complication and recurrence in the control group The rates of complications and recurrence in the treatment group were 0 （0%）and 1 （2%）respectively，and the complication and recurrence of the patients in the observation group were significantly different The rate was lower than the control group，the difference was statistically significant （p 0.05）.Conclusion：In the treatment of rectal prolapse，rectal mucosal punctate suture combined with anal ring contraction has a good therapeutic effect，and can reduce the patients complications and recurrence rate