硬化剂直肠周围注射治疗会阴下降综合征及直肠内脱垂疗效观察

Perirectal Injection of Sclerosing Agent in the Treatment of Descending Perineum Syndrome and the Internal Prolapse of Rectum

观察硬化剂直肠周围注射对会阴下降综合征、直肠内脱垂的治疗效果。对经临床和排粪造影诊断为会阴下降综合征和（或）直肠内脱垂的19例患者，采用消痔灵与1％利多卡因的混合液行直肠两侧和骶前间隙注射治疗，共2～3次，治疗间隔为7-10d。14例会阴下降综合征患者，4例治愈，1例无效，有效率93．O％；17例直肠内脱垂者10例治愈，有效率100％。无直肠坏死、门静脉炎、死亡等严重并发症出现。随访6个月，无症状再加重者。结果表明，硬化剂直肠周围注射治疗可明显改善会阴下降综合征、直肠内脱垂的临床症状。

The therapeutic effect of sclerosing agent perirectal injection in the treatment of descending perineum syndrome and internal prolapse of rectum was evaluated. Ninteen patients with such illnesses received the injection of Xiao Zhi Ling plus lidocaine（1%）,a mixture,which was injected at the two sides of the rectum and anterior sacral space,twice or tri-times. The injection interval was 7-10 days. Of the 14 cases with descending perineum syndrome,cure was achieved in 4 cases and no response in 1 case,the general effective rate was 93.0% ;and of the 17 cases with internal prolapse of rectum,cure was achieved in 10 cases and the general effective rate was 100%. There were no such severe complications as rectal necrosis,pylephlebitis or death. Follow-up of 6 monthes found no patients with deteriorating symptoms. Results reveal that this injection therapy can obviously relieve the symptoms of patients with descending perineum syndrome and/or internal prolapse of rectum.