耻骨直肠肌综合征两种手术方法疗效比较

Comparison on the curative effects of two surgical methods for puborectalis syndrome

目的探讨两种不同手术方法治疗耻骨直肠肌综合征的临床疗效,为手术治疗耻骨直肠肌综合征提供指导。方法将2005-05～2008-04收治的单纯性耻骨直肠肌综合征患者42例,随机分为观察组(Ⅰ组)与对照组(Ⅱ组)各21例进行外科手术治疗,方法分别为耻骨直肠肌部分切除直肠壁悬吊术和耻骨直肠肌部分切除术。结果所有42例均随访1年。观察组有20例(95.2%)术后早期症状缓解,19例(90.5%)获得长期缓解,术后复发1例(5%);对照组有19例(90.5%)术后早期症状缓解,12例(57.1%)获得长期缓解,术后复发7例(36.8%)。结论在耻骨直肠肌部分切除的基础上附加行直肠壁悬吊术有利于提高患者远期疗效,减少术后复发。

Objective To compare the results of two procedures in treating patients with puborectalis syndrome.Methods This prospective randomized study included 42 patients suffering from puborectalis syndrome.They were randomized into two groups：group Ⅰ which included 21 patients who underwent partial division of puborectalis（PDPR） plus rectum suspension and group Ⅱ which included 21 patients who underwent PDPR only.Follow-up was conducted for about 1 year.Improvement was considered when patients returned to their normal habits.Result Group Ⅰ achieved initial success in 20 patients（95.2%）.However,long-term success persisted in 19 patients（90.5%）.This was in contrast to group Ⅱ which achieved initial success in 19 patients（90.5%） with a long-term success in ten patients（57.1%）.Recurrence was observed in 1 patient（5%） and 7 patients（36.8%） following PDPR plus rectum suspension and alone PDPR respectively.Conclusion PDPR plus rectum suspension is more successful than alone PDPR in the treatment of puborectalis syndrome.