综合疗法治疗重度直肠脱垂的临床疗效观察

Observation on the Clinical Therapeutic Efficacy of a Combined Therapy in the Treatment of Severe Rectal Prolapse

为探讨综合疗法治疗重度直肠脱垂的疗效，回顾性分析采用综合疗法治疗7例重度直肠脱垂患者的临床资料。结果显示，采用直肠悬吊、盆底组织修补、盆底腹膜提高缝合、直肠黏膜下和两间隙注射消痔灵及肛门紧缩术治疗5例；在以上方法的基础上，再加乙状结肠折叠缝合缩短固定术治疗2例；所有病例术后均口服升阳举陷、益气固脱的中药辅助治疗，结果全部治愈，随访6～24个月，无复发。结果表明，综合疗法治疗重度直肠脱垂疗效确切，无后遗症。

The objective of the study was to observe the therapeutic results of the combined therapy（CT） in the treatment of severe rectal prolapse（SRP）. The clinical data of 7 patients with SRP who had undergone the CT were analized retrospectively. Of the 7 cases, 5 underwent a combined surgical treatment of rectal suspension,pelvic floor tissue repair, elevation ＆ suture of pelvic floor peritoneum, rectal submueous and 2-space injection of Xiaozhiling and anal tightening, while the rest 2 cases underwent an extra treatment of ＂ folding, suture and fixation of the sigmoid＂. All the 7 patients administered oral shengyangjuxian, yiqigutuo decoction（traditional Chinese durgs） postoperatively. As results,cure was achieved in all of the 7 cases,and no recurrence was found during the follow up of 0.5-2 years. It is concluded that combined therapy for severe rectal prolapse can ensure better therapeutic efficacy, no sequelae.