两种术式治疗直肠前突的对比研究

目的：探讨“阴道双荷包修补加直肠前壁硬化注射术”治疗直肠前突的临床疗效。方法：将确诊的62例直肠前突病人随机分成试验组和对照组，且两组病例数相等，其中试验组31例采用“阴道双荷包修补加直肠前壁硬化注射术”，对照组31例采用“直肠粘膜间断缝合加硬化剂注射术”。观察比较两组病例的近远期疗效、术中术后出血、术后肛门疼痛及坠胀、术后感染。结果：两组近期疗效、术后出血、术后肛门坠胀、术后感染相比无统计学差异（P〉0．05），术中出血、术后肛门疼痛两组间有统计学差异（P〈0．05），且对照组优于试验组，但试验组的远期疗效优于对照组，有统计学差异（P〈0．05）。结论：“阴道双荷包修补加直肠前壁硬化注射术”与“直肠粘膜间断缝合加硬化剂注射术”相比，具有疗效稳定、远期疗效好等优点。

Objective： To observe and evaluate The wall hardened the skill of injecting before one pair of small bags of vagina was mended to add the rectum .Methods： A randomized study was made in 62 patients, the study group（31cases） received the treatment of the wall hardened the skill of injecting before .one pair of small bags of vagina was mended to add the rectum , the control group（31cases） with Discontinuous stylolitic suture with sclerosing agent injection. Study the short and long term therapeutic effect, hemorrhage during the operative process and post-operation, sensation of pain and tenesmus in the anus. Results： Postoperative symptomatic scores were lower than those of pro-operation. The short term therapeutic effect, hemorrhage after the operation, sensation of tenesmus, postoperative inflammation in the two groups had no statistic differences（P 〉 0.05）.on the contrary, hemorrhage during the operative process, sensation of pain in the anus （P 〈 0.05）,and the control group was better, but the long term therapeutic effect of the study group was much better than the control group（P 〈 0.05）.Conclusion： The long term therapeutic effect of the study group, to rectocele ,was more stable and utility than the control group.