摘要
目的探讨吻合器痔上黏膜环切术(PPH术)加直肠闭式修补术(Block术)治疗直肠前突的临床疗效。方法近9年来对女性直肠前突患者先后采用Block术(36例)和PPH+Block术(41例)治疗,分析两组患者的临床资料,观察并比较其术后第1天出血量、术后并发症的发生率及疗效。结果两组患者术后第1天出血量及术后并发症发生率的差异均无统计学意义(均P>0.05)。术后3、6、12个月PPH+Block术组与Block术组的痊愈率分别为85.4%、82.9%、82.9%和58.3%、52.8%、52.8%,差异均有统计学意义(均P<0.05)。结论 PPH+Block术治疗直肠前突较单纯Block术疗效更好,值得推广应用。
Objective TO evaluate the clinical efficacy of procedure for prolapse and hemorrhoids （PPH） with transrectal closed repair （Block＇s procedure） in treatment of rectocele. Methods Clinical data of 77 patients with rectocele treated in last 9 years in our hospital were retrospectively reviewed. Among all patients 36 received Block＇s procedure （Block group）, and 41 received PPH with Block＇s procedure（PPH ＋ Block group）. The bleeding of dl after surgery, postoperative complications and therapeutic efficacy were documented and compared between two groups. Results There were no significant differences in bleeding of dl and postoperative complications between two groups （P 〉0.05）. The cure rates in PPH ＋ Block group were higher than those in Block group （85.4% vs 58.3% at m 3, 82.9% vs 52.8% at m 6, 82.9% vs 52.8% at m12, respectively, all P〈0.05）. Conclusion PPH with Block＇s procedure has better curative effect than single Block＇s procedure in treatment of rectocele.
出处
《浙江医学》
CAS
2015年第4期311-313,共3页
Zhejiang Medical Journal
