| 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。 |
| 关键词: 直肠内黏膜环切术 直肠闭式修补术 术后并发症 临床疗效 |
| DOI： |
| 分类号: |
| 基金项目: |
|
| Comparison of PPH with Block's procedure to single Block's procedure in treatment of rectocele |
|
CHE Xianwen, ZHANG Yanhong, ZHENG Huajun
|
|
Xiaoshan Traditional Chinese Medicine Orthopedics Hospital
|
| Abstract: |
| 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 d1 after surgery, postoperative complications and therapeutic efficacy were documented and compared between two groups. Results There were no significant differences in bleeding of d1 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. |
| Key words: PPH Transrectal closed repair Cinical efficacy Postoperative complications |
