耻骨直肠肌挂线联合肛门内括约肌松解术治疗盆底失弛缓综合征疗效观察

Therapeutical Efficacy of the Procedure of Thread-drawing of Puborectal Muscle plus Lysis of Anal Internal Sphincter in the Treatment of Anismus

为探讨耻骨直肠肌挂线联合肛门内括约肌松解术治疗盆底失弛缓综合征的临床疗效，将盆底失弛缓综合征患者70例分为治疗组和对照组，治疗组37例行耻骨直肠肌挂线联合肛门内括约肌松解术，对照组33例行耻骨直肠肌部分切除术。结果显示，治疗组治愈30例（81．1％），显效4例（10．8％），无效3例（8．1％），总有效率91．9％；对照组治愈21例（63．6％），显效5例（15．2％），无效7例（21．2％），总有效率78．8％，两组差异有统计学意义（P〈0．05）。结果表明，耻骨直肠肌挂线联合肛门内括约肌松解术治疗盆底失弛缓综合征较耻骨直肠肌部分切除术疗效高。

Seventy patients with anismus were divided into two groups,37 cases underwent thread-drawing of puborectal muscle plus lysis of anal internal sphincter （the trial group） ,and the rest 33 cases underwent partial resection of p uborectal muscle（the controlled group）. As results, the cure rate, notably effective rate, ineffective rate and the general effective rate in the trial group and controlled group were 81.1% vs 63.6%, 10.8% vs 15.2%,8. 1% vs 21.2% and 91.9% vs 78. 8% respectively（ P 〈0. 05）. It is concluded that the therapeutical efficacy of the procedure of thread-drawing of puborectal muscle plus lysis of anal internal sphincter in the treatment of anismus is better than the procedure of partial resection of puborectal muscle.