肛门后方切开加改良Block修补术治疗直肠前突型便秘

Combined posterior excision of anus and modified Block’s repair for the treatment of constipation of anterior rectocele

目的探讨直肠前突型便秘的手术治疗效果。方法回顾性分析采用肛门后方切开加改良Block修补术治疗82例直肠前突型便秘的疗效。结果本组82例中采用肛门后方切开加改良Block修补术治疗直肠前突型便秘,手术总有效率为96%,其中痊愈率为67%,显效率为18%,有效率为11%。本组病例平均住院(18.8±4.8)d,无1例出现手术并发症。术后随访1～4年无便秘复发和大便失禁。结论该术式具有手术疗效确切、手术简便等特点,同时可于手术中一并处理并发的肛门疾病,可避免术后肛门狭窄。

Objective To evaluate combined posterior excision of anus and modified Block＇s repair for the treatment of constipation of anterior rectocele. Methods Clinical data of 82 patients treated by combined posterior resection of anus and modified Block＇s technique in our hospital between Oct 2002 and May 2004 were retrospectively analyzed. Results The overall effective rate was 96% , cure rate of 67% , significant improvement of 18% , and improvement of 11%. The mean hospital stay was 18. 8 ±4. 8 days, and no postoperative complication. Follow-up from 1 to 4 years found no recurrence of constipation and loss of control of evacuation. Conclusions This procedure is effective for the treatment of constipation of anterior rectocele type, and it prevents stricture of anus in patients with a relative narrow lumen of the anus.