摘要
目的比较不同术式治疗重度直肠前突的优缺点。方法随机将80例重度直肠前突病人分成2组,改良闭式修补术40例(A组),经阴道切开修补术40例(B组)。观察两种术式的症状评分、手术时间、术中出血、伤口愈合时间、术后出血、术后疼痛、术后感染、肛门坠胀、直肠阴道瘘等临床资料。结果两组术式治疗效果显著(P>0.05),但B组手术时间较A组长(P<0.05),A组在术后3月症状评分、手术时间、术中出血、伤口愈合时间、术后疼痛、肛门坠胀等方面明显优于B组,两组在术后7 d症状评分、术后出血、术后感染、直肠阴道瘘等方面无统计学差异。结论改良闭式修补术治疗重度直肠前突近、远期疗效更佳。
Objective To analyze and compare the effectiveness of modified Block＇s repair procedure and transvaginal incision and repair procedure in treatment of heavy rectocele. Methods Eighty patients with heavy rectocele were randomly allocated into study group （ n = 40） and control group （n =40）. Patients in study group received modified Block＇s repair procedure and patients in control group received transvaginal incision and repair procedure. The effect of treatment and complications were compared between these two groups. Results Scores on symptoms were lower in patients of study group than those of control group. The short term effect was similar in patients between these two groups. There were significantly less operating time, operative bleeding and postoperative pain in patients of study group in comparison with those of control group. Conclusion Modified Block＇s repair procedure for heavy rectocele is better than transvaginal incision and repair procedure in short term and long term efficacy.
出处
《临床和实验医学杂志》
2010年第9期649-651,共3页
Journal of Clinical and Experimental Medicine
基金
河北省中医药管理局科学技术研究计划课题编号:2009081
