四联疗法治疗中重度直肠前突合并直肠黏膜内套叠的疗效观察

Treatment effect of quadruple therapy in curing moderate and severe degree rectocele and rectal internal mucosal intussusception

目的探讨治疗中、重度直肠前突伴直肠黏膜内套叠引起的直肠排空障碍型便秘的手术方法和治疗效果。方法对32例中、重度直肠前突伴直肠黏膜内套叠采用吻合器直肠黏膜环形切除吻合、直肠前壁闭式缝合、消痔灵注射和肛门内括约肌部分切断术治疗。结果 28例治愈,4例明显好转,有效率为100%。结论吻合器直肠黏膜环形切除吻合、直肠前壁闭式缝合、消痔灵注射和肛门内括约肌部分切断术治疗中、重度直肠前突伴直肠黏膜内套叠引起的直肠排空障碍型便秘创伤小、操作简单、疗效显著、并发症少、患者痛苦小、愈合快。

Objective To investigate surgical styles and treatment effect of curing rectal evacuation disorder type constipation caused by moderate and severe degree reetoede and rectal internal mueosal intussusception. Methods Thirty-two patients with moderate and severe degree rectocde and rectal internal mucosal intussusception were operated by quadruple therapy, induding circular rectal mucosal resection and anastomosis with stapler, rectal anteth- eea dosed anastomosis, xiaozhiling injection and partial resection of sphincter ani internus. Results Among 32 pa- tients 28 cases were cured, 4 eases were obviously improved. The effective rate was 100%. Conclusion Quadruple therapy, including circular rectal mucosal resection and anastomosis with stapler, rectal antetheca dosed anastomo- sis, xiaozhiling injection and partial resection of sphincter ani internus has remarkable therapeutic effect in curing rec- tal evacuation disorder type constipation caused by moderate and severe degree rectoeele and rectal internal mueosal intussusception, with fewer complications, simple operation, little pain, quick recovery and minimally damage.