PPH术与传统术式结合治疗Ⅱ、Ⅲ度直肠脱垂的临床研究

Clinical Study on the Treatment of Rectal Prolapse Patients(Ⅱ,Ⅲ) by PPH Surgery Combined with Traditional Surgical Treatment

目的：探讨成人直肠脱垂微创手术的有效治疗方法,开展PPH术与传统术式结合治疗Ⅱ、Ⅲ度直肠脱垂的临床疗效。方法：采用病例对照的方式,将2007~2010年开展PPH术结合传统直肠周围三间隙硬化剂注射加肛门紧缩术治疗Ⅱ、Ⅲ度直肠脱垂的30例病例与既往单纯采用直肠周围三间隙硬化剂注射加肛门紧缩术治疗Ⅱ、Ⅲ度直肠脱垂的30例病例进行研究,观察其临床疗效。结果：观察组30例患者,29例治愈,1例好转,治愈率为96.7%;对照组30例患者,20例治愈,6例好转,4例复发,治愈率为66.67%。结论：应用PPH术与传统术式结合治疗Ⅱ、Ⅲ度直肠脱垂,具有操作简单,疗效确切,避免了开腹手术痛苦等优点,为治疗成人直肠脱垂较安全有效的方法。

Objective: To probe a minimally invasive and effective surgery for the adult rectal prolapse patients and conduct a study on the treatment of the rectal prolapse patients(Ⅱ,Ⅲ) by PPH combined with the traditional operation.Methods: A case-control approach was used to observe the clinical effect of 30 patients who received PPH with the three traditional perirectal space plus sclerotherapy treatment of anal contraction and only simply with the three traditional perirectal space plus sclerotherapy treatment of anal contraction.Results: The study showed that 29 of 30 patients in the observation group were cured and 1 improved,with 96.7% cure rate while 20 of 30 patients in the control group,20 were cured,6 improved and 4 recurred,with 66.67% cure rate.Conclusion: The results show that the application of PPH combined with the traditional operation showed a good effect on the treatment of the rectal prolapse patients(Ⅱ,Ⅲ),and the operation is simple and effective,avoiding the pain of abdominal surge and it is a safe and effective method for the treatment of the adult rectal prolapse patients.