摘要
目的探讨改良经会阴直肠乙状结肠部分切除术治疗直肠脱垂的效果。方法选取2015年1月—2018年5月河南省三门峡市中心医院直肠脱垂患者51例。分为改良组(n=26),行改良经会阴直肠乙状结肠部分切除术;常规组(n=25),行常规经会阴直肠乙状结肠部分切除术。比较两组手术效果。结果改良组恢复排便时间、脱出肠管消失时间较常规组短,术后3个月肛管最大收缩压、肛管静息压高于常规组,差异有统计学意义(P<0.05);改良组复发率0.00%(0/26)较常规组24.00%(6/25)低,差异有统计学意义(P<0.05)。结论改良经会阴直肠乙状结肠部分切除术治疗直肠脱垂能有效改善直肠脱垂情况,缩短康复时间,恢复肛门功能,且并发症少,效果稳定,可预防复发。
Objective To investigate the effect of modified transperineal partial sigmoid Colectomy for rectal prolapse.Methods 51 patients with rectal prolapse were selected from Sanmenxia Central Hospital in Henan Province from January 2015 to May 2018.The patients were divided into modified group(n=26)and underwent modified transperineal-rectal partial sigmoid colectomy,in the conventional group(n=25),perineal rectal partial sigmoidectomy was performed.The effect of operation was compared between the two groups.Results The recovery time of defecation and disappearance time of prolapsed bowel in the improved group were shorter than those in the routine group,and the maximal anal systolic pressure and resting pressure of anal canal were higher than those in the routine group 3 months after operation(P<0.05).The recurrence rate of the modified group was 0.00%(0/25)lower than that of the conventional group 25.00%(6/24),the difference was statistically significant(P<0.05).Conclusion Modified transperineal partial sigmoidectomy for rectal prolapse can effectively improve the situation of rectal prolapse,shorten the recovery time,restore anal function,with fewer complications,stable effect,and it can prevent recurrence.
作者
王铭
WANG Ming(General Surgery,Sanmenxia Central Hospital,Sanmenxia Henan 472000,China)
出处
《临床研究》
2020年第11期24-25,30,共3页
Clinical Research
关键词
直肠脱垂
复发
肛门功能
rectal prolapse
recurrence
anal function
