摘要
目的探究改良吻合器痔上黏膜环切(Patent Prosecution Highway,PPH)术治疗排便障碍综合征的临床疗效及安全性。方法选择2015年7月至2016年8月我院收治的80例排便障碍综合征患者,根据治疗方式不同分为两组,每组各40例。对照组实施常规PPH术治疗,观察组实施改良PPH术治疗。术后3个月进行疗效评定,比较两组患者术后疗效、并发症发生情况以及排便情况。结果观察组VAS评分低于对照组,差异有统计学意义(P<0.05);术后两组直肠袋状凹陷消失率比较,差异无统计学意义(P>0.05);观察组术后3个月排便通畅率优于对照组,差异有统计学意义(P<0.05);观察组吻合口出血、尿潴留、肛门刺激症状发生率均低于对照组,差异有统计学意义(P<0.05);两组暂时性急便感发生率相比,差异无统计学意义(P>0.05);观察组ODS评分明显低于对照组,差异有统计学意义(P<0.05)。结论采用改良PPH术治疗排便障碍综合征患者疗效确切,能有效改善患者临床症状,减轻疼痛程度,降低术后并发症发生率,安全性高,值得临床推广。
Objective To explore the clinical efficacy and safety of improved hemorrhoids of the stapling system for the mucosalring cutting （PPH） in the treatment of defecation dysfunction syndrome. Methods 80 cases of defecation dysfunction syndrome se-lected from July 2015 to August 2016, were divided into two groups evenly, according to the treatment pattern. The control group wasgiven routine PPH therapy while the observation group was treated with the improved PPH. The results in the two groups were evaluatedand compared three months after operation, in terms of the postoperative effect, complications and defecation. Results The VASscore of the observational group was lower than that in the control group with statistically significant difference （ P 〈 0.05 ）. The differ-ence in the loss rate of the rectal pouch between the two groups was not statistically significant （P 〉 0. 05 ）. The defecation rate in theobservational group was statistically better than that in the control group three months after operation （ P 〈 0.05 ）. The incidences ofhaemorrhage, urinary retention and anal stimulation in the observation group were statistically lower than those in the control group （P〈 0. 05）. The difference was not statistically significant when comparison was made in the incidence of temporary sense of defecation（ P 〉 0. 05 ）. The ODS score in the observation group were significantly lower than that in the control group （ P 〈 0. 05 ）. Conclusion The clinical efficacy of the improved PPH is definite, effectively improving the clinical symptoms, relieving pain and reducing theincidence of postoperative complications. The adoption of PPH is of high safety, which is worth promoting.
出处
《锦州医科大学学报》
CAS
2017年第4期53-55,共3页
Journal of Jinzhou Medical University
关键词
改良吻合器痔上黏膜环切术
排便障碍综合征
临床疗效
安全性
improved hemorrhoids of the stapling system for the mucosal ring cutting
defecation dysfunction syndrome
clinicalefficacy
safety
