改良闭式修补术并益气增液中药治疗重度直肠前突

Modified Block's Repair and Traditional Chinese Drug Therapy in the Treatment of Heavy Rectocele

目的:探讨重度直肠前突的最佳治疗方法。方法:将90例重度直肠前突病人随机分成3组,A组(30例)采用经阴道切开修补术,B组(30例)采用改良闭式修补术,C组(30例)采用改良闭式修补术并口服益气增液中药治疗。对3组患者手术情况,术后并发症及治疗效果进行观察分析。结果:B组、C组在手术时间、术中出血、术后坠胀等方面优于A组,A组、B组与C组在近期疗效方面无统计学差异。C组在远期疗效方面更优于A组及B组。结论:改良闭式修补术治疗重度直肠前突操作简便,疗效可靠;加用口服益气增液中药疗效更佳。

Objective： To evaluate the clinical efficacy of modified Block＇s repair and Traditional Chinese drug therapy in the treatment of heavy rectocele. Methods： 90 patients with heavy rectocele were allocated randomizedly to the A group, B group and C group. A groups （30 cases） received the operation otransvaginal incision and repair. B group （30 cases） received modified Block＇ s repair. C group （30 cases） received modified Block＇ s repair and Traditional Chinese drug therapy The treatment effect and complications were compared the groups. Results： The recently effect was similar in the three groups. The B and C group had signifi between cant less operative time, operative bleeding and postoperative pain, and so on. C group has the best symptom improve- ment. Conclusion ： Modified Block＇ s repair is a simple and effective method for the treatment of heavy rectocele. the late result is better besides adding traditional Chinese drug therapy.